| NPI | 1821270364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ELIZABETH BECK Medical Doctor 435-528-7935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 942766401205) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |