| NPI | 1720825573 |
|---|---|
| Doing Business As | SUNDARA MHS |
| Entity Type | Organization |
| Authorized Contact | TAMARA BROADHEAD Dnp 801-410-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-05-28 |