| NPI | 1992211445 |
|---|---|
| Doing Business As | CENTRAL OREM PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Exec Phys/Mg Pres 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |