| NPI | 1871654459 |
|---|---|
| Other Name | UTAH DEPARTMENT OF HEALTH |
| Entity Type | Organization |
| Authorized Contact | STEVE IPSEN Clinic Director 801-273-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-07-26 |