| NPI | 1710384367 |
|---|---|
| Doing Business As | TAYLORSVILLE SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Exec Phys/Pres Imgroup 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: UT 742462014) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 742462014) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2018-11-29 |