| NPI | 1912301615 | 
|---|---|
| Doing Business As | MADSEN HEALTH CENTER FAMILY PRACTICE CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | SEAN MULVIHILL Chief Medical Officer 801-587-6336 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Enumeration Date | 2014-10-09 | 
| Last Update Date | 2014-10-09 |