| 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 |