| NPI | 1720035520 |
|---|---|
| Former Legal Business Name | UTAH RADIOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JULIE PENROD CEO 801-284-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 1328836-0144) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: UT 1328836-0144) |
| 2085N0700X Radiology, Neuroradiology (Licence: UT 1328836-0144) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: UT 1328836-0144) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: UT 1328836-0144) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-10-06 |