| NPI | 1790230860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI NICOLE BAGLEY Clinical Dietitian 801-662-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: UT 78229114901) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |