NPI | 1891350658 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL SALTER Partner 435-229-2285 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
133NN1002X Nutritionist, Nutrition, Education | |
207QA0401X Family Medicine, Addiction Medicine | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2019-05-07 |
Last Update Date | 2019-05-07 |