| NPI | 1962996827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL CHRISTENSEN Sole Proprietor 801-558-8432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-07-27 |