| NPI | 1972928760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L GRIFFITHS Executive Director 801-390-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-09-10 |