NPI | 1982118485 |
---|---|
Doing Business As | AVENUES INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec/Pres Mg 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2017-11-21 |
Last Update Date | 2017-11-21 |