| NPI | 1912102997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA L GONCHAROVA President 801-475-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 53786511205) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-05-21 |