| NPI | 1871261420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SAUNDERS DOXEY Nurse Practitioner 801-710-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |