NPI | 1740260504 |
---|---|
Former Legal Business Name | GRAY FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | STEVEN R NEWMAN Owner 435-586-7676 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 50914131205) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2022-12-13 |