| NPI | 1740212570 |
|---|---|
| Doing Business As | INTERMOUNTAIN LAYTON HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL VAN WAGENEN Director Of Operations 801-387-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2080S0010X Pediatrics, Sports Medicine | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |