| NPI | 1922339373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL E CLARK President 801-263-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: UT 73799221205) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |