| NPI | 1720702434 |
|---|---|
| Doing Business As | UAF LEGACY HEALTH |
| Entity Type | Organization |
| Authorized Contact | IAN MCMAHAN VP Of Clinical Operations & Technol 801-487-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2023-07-12 |