NPI | 1740307206 |
---|---|
Doing Business As | SERAPHINE CLINIC LLC |
Entity Type | Organization |
Authorized Contact | ROBERT WENDELL GNEITING Managing Member 801-936-6966 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 52779300151) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |