| 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 |