| NPI | 1891151668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT MEACHAM Manager 801-476-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: UT 8907753-1204) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2017-03-15 |