NPI | 1891098679 |
---|---|
Doing Business As | ST GEORGE NEONATOLOGY |
Doing Business As | DIXIE NEONATOLOGY |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Physician Executive 801-442-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
Enumeration Date | 2010-12-16 |
Last Update Date | 2021-01-07 |