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 Clinic/Center (Licence: UT 4227) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2020-01-30 |