| NPI | 1902875669 |
|---|---|
| Other Name | NORTHERN UTAH ENDOSCOPY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | DUANE BOHMAN Member 435-787-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: UT 2006-ASF-16794) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-04-28 |