| NPI | 1689684672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NOEL PEUGH Owner/Physician 801-772-1972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: UT 51150451205) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |