| NPI | 1740354653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOMBARDO FRANCISCO PALMA Corporation President 801-417-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 1695411205) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-09-26 |