NPI | 1790816973 |
---|---|
Doing Business As | ALTA VIEW KIDSCARE |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Physician Exec 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: UT 55776) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2022-01-13 |