| NPI | 1932471471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D BIRCH Physician 801-587-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: UT 221500441204) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |