NPI | 1710217864 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL E. HAWS CEO 801-341-8218 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: UT 5661581-3501) |
Enumeration Date | 2010-01-12 |
Last Update Date | 2010-06-01 |