| NPI | 1801227830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EVANS Owner/Physician 801-732-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: UT 274737-1205) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2016-04-15 |