NPI | 1972795052 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN N STORZ Owner / Md 801-433-2873 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 6020597-1205) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2023-03-07 |