NPI | 1902311558 |
---|---|
Doing Business As | PNG UTAH |
Entity Type | Organization |
Authorized Contact | THEO S STEPHENS Chief Operations Officer 423-271-9911 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2017-12-05 |
Last Update Date | 2021-10-05 |