| NPI | 1760415483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHSAN HADJBIAN Owner 801-748-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: UT 52665561205) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-07-20 |