NPI | 1902329469 |
---|---|
Doing Business As | MEDALLUS MEDICAL |
Entity Type | Organization |
Authorized Contact | MONIQUE ARAGON Compliance Admin Asst/ Cred Liaison 801-260-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2017-07-17 |
Last Update Date | 2024-07-17 |