| NPI | 1831637305 |
|---|---|
| Doing Business As | DBA FUTURA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DARCE LATSIS Operations Manager 801-441-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: UT 4227) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2020-01-30 |