| NPI | 1114601549 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH WEST END CLINIC - GYN-ONC |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |