NPI | 1932689403 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL HUNT Owner/Partner 801-372-5785 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2018-08-15 |
Last Update Date | 2022-12-22 |