| NPI | 1003095506 |
|---|---|
| Doing Business As | SPECIAL GYNECOLOGY AND ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JESSE JOLLES President 801-302-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: UT 167833-1205) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2012-03-29 |