| NPI | 1912963372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA LOUISE EARLE Practice Administrator 801-763-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-10-27 |