NPI | 1932975257 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL CRANDALL THOMAS President 801-718-1997 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 104100000X Social Worker |
133V00000X Dietitian, Registered | |
163W00000X Registered Nurse | |
164W00000X Licensed Practical Nurse | |
164X00000X Licensed Vocational Nurse | |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
183500000X Pharmacist | |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2023-11-28 |
Last Update Date | 2024-03-12 |