| NPI | 1881870434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS MORALES Administrator 801-743-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT EXEMPT) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-10-02 |