| NPI | 1982620738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIF CHOWDHURY Owner 801-773-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: UT 97335689-1205) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |