| NPI | 1871689562 |
|---|---|
| Former Legal Business Name | FKA GASTROENTEROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MORRIS Corporate Administrator 801-944-3191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-07-22 |