| NPI | 1902977242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E SOUTHWORTH President 801-294-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 200632514) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2022-12-07 |