| NPI | 1982847109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W. SAXTON Doctor 801-553-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: UT 63574) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-07-16 |