| NPI | 1740661792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R JOHNSON Sole Member 801-631-8210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 184901-1205) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |