NPI | 1922529601 |
---|---|
Doing Business As | UTAH VALLEY UROLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER Chief Phys Exec And Pres Med Group 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2017-07-03 |
Last Update Date | 2021-01-14 |