| NPI | 1942311006 |
|---|---|
| Former Legal Business Name | AMERICAN FORK CLINIC |
| Entity Type | Organization |
| Authorized Contact | LARRY J PHILLIPS Administrator 801-855-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-12-16 |