NPI | 1902329469 |
---|---|
Doing Business As | MEDALLUS MEDICAL |
Entity Type | Organization |
Authorized Contact | RACHOT K VACHAROTHONE CEO 801-501-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2017-07-17 |
Last Update Date | 2024-03-28 |