| NPI | 1790077642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BUNN Owner/Physician 801-704-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: UT 5756680-1204) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2024-08-12 |