NPI | 1851455224 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE SUTCH Clinical Admin. Manager 801-587-7606 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Additional Taxonomies | 246ZN0300X Specialist/Technologist, Other, Nephrology |
2472R0900X Technician, Other, Renal Dialysis | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-12-20 |
Last Update Date | 2020-08-22 |