| NPI | 1710152228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SUSAN FORBES Office Manager 801-314-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: UT 173000000x) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |