| NPI | 1740260504 |
|---|---|
| Former Legal Business Name | GRAY FAMILY MEDICINE |
| Other Name | CEDAR RIDGE URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | STEVEN R NEWMAN Owner 435-586-7676 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 50914131205) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2024-10-11 |