| NPI | 1902905417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER E JENSEN De PT Chair 801-581-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 1223P0106X Dentist Oral and Maxillofacial Pathology |
| 207ND0900X Dermatology Dermatopathology | |
| 207RH0000X Internal Medicine Hematology | |
| 207RX0202X Internal Medicine Medical Oncology | |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine | |
| 207ZC0500X Pathology Cytopathology | |
| 207ZD0900X Pathology Dermatopathology | |
| 207ZH0000X Pathology Hematology | |
| 207ZN0500X Pathology Neuropathology | |
| 207ZP0101X Pathology Anatomic Pathology | |
| 207ZP0104X Pathology Chemical Pathology | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-09-07 |