| NPI | 1750596086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY LAWRENCE STELTER Family Physician 801-546-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: UT 5043) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-08-13 |