NPI | 1114111069 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY DEE KVARFORDT President 435-674-0999 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 611694-1205) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2008-04-09 |