| NPI | 1801067731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D JONES Owner 801-433-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 3732281205) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2009-05-22 |