| NPI | 1790957454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN E. CALL Manager 801-671-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: UT 5761120-1205) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2023-12-06 |