| NPI | 1922638287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SPAINHOWER Business Services Director 801-773-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |