| NPI | 1740499433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HARRIS Office Manager 801-355-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: UT 19920633) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |