| NPI | 1710667282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SPAINHOWER Business Services Director 801-773-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |