NPI | 1093013203 |
---|---|
Doing Business As | ST GEORGE MATERNAL FETAL MEDICINE |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 3172010) |
Enumeration Date | 2011-03-11 |
Last Update Date | 2022-01-28 |