| NPI | 1811555642 |
|---|---|
| Doing Business As | SANDY FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MALCOLM VOGELER President 801-572-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-10 |