| NPI | 1750900247 |
|---|---|
| Doing Business As | BRISTOL ADVANCED ILLNESS |
| Entity Type | Organization |
| Authorized Contact | MARK L PHILLIPS National Director Of Physicians 435-862-6143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-06-10 |