| NPI | 1952984965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTIN CHAD VIGIL Owner/Physician Assistant 801-792-9579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |