| NPI | 1912073966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JARED POTTER President 801-543-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 57481181205) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |