| NPI | 1881881993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER R. HARRISON Physician/Owner 801-373-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 5960238-1204) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |