NPI | 1871470179 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MORRIS President 801-852-0048 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LA2100X Nurse Practitioner, Acute Care | |
363A00000X Physician Assistant | |
363LG0600X Nurse Practitioner, Gerontology | |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
363AM0700X Physician Assistant, Medical | |
364SG0600X Clinical Nurse Specialist, Gerontology | |
Enumeration Date | 2025-08-19 |
Last Update Date | 2025-10-09 |