| NPI | 1790013548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRIS L BANKS Office Manager 801-764-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 932643141205) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2025-01-28 |