| NPI | 1134435837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA CUSHING Coding, Billing 801-357-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: UT 180191-1204) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |