NPI | 1720354384 |
---|---|
Entity Type | Organization |
Authorized Contact | TROY DARREN HUNTER Ap RN 801-643-6385 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 368786-4405) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2012-11-06 |