| NPI | 1811941438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A TERRY Medical Director 801-587-6307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207R00000X Internal Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-09-07 |