| NPI | 1912182494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADD K CHRISTENSEN President 801-272-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: UT 165695-1205) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |