| NPI | 1952175127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN NOVAK Owner 801-951-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2024-06-24 |