| NPI | 1730496472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY S STOREY Office Manager 801-387-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 7359451-1205) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2012-07-13 |