| NPI | 1861715005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WHITEHOUSE CEO 801-598-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: UT 12752998-002) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |