| NPI | 1942588082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY LYNNE ORD Office Manager 801-377-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 152622-1205) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |