| NPI | 1891254439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HEWETT Administrator 801-386-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |