| NPI | 1093067852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDAD VERED Owner 435-882-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 69342991205) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |