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 | 2024-06-17 |