| NPI | 1891397931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA E FEDJUR National Dir Of Payer Contracts 801-325-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |