| NPI | 1972824803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI C LIVINGSTON Office Manager 801-408-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: UT 1197331-0144) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |