| NPI | 1942516059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN RADA Sole Member 801-572-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 364209-8905) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |