| NPI | 1740822774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH GLICKMAN Intrm Medical Group Pres/Cmo Cbc 801-442-2905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |