| NPI | 1780266288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L PHILLIPS Vice President 435-862-6143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 1223G0001X Dentist, General Practice | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 152W00000X Optometrist | |
| 171400000X Health & Wellness Coach | |
| 183500000X Pharmacist | |
| 207R00000X Internal Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| 363AM0700X Physician Assistant, Medical | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-26 |