| NPI | 1992942635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J HOWARDS Director Of Central Ar Services 801-442-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |