| NPI | 1922292481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DERIT TE President 435-628-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: UT 3705341205) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2010-02-26 |