| NPI | 1699108225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNERST ALAN JEPPSEN Doctor 801-598-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 149728-1205) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |