| NPI | 1992831218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 33829) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-02-01 |