| NPI | 1710407283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHASKEY Owner 801-631-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 181318-1205) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |