NPI | 1699043943 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIOT ASHBY BRINTON Owner 801-581-6862 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 5353571-1205) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2018-02-06 |