| NPI | 1841480126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D HOLLINGSWORTH President 435-637-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 5222881-1205) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2008-01-04 |