| NPI | 1134428279 |
|---|---|
| Doing Business As | DIXIE MFM HIGH RISK OB |
| Doing Business As | ST GEORGE HIGH RISK OB |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec/Pres Im Group 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 3182011) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2021-01-07 |