| NPI | 1164712246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDAD VERED Owner/President 435-882-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 6934299-1205) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-06-06 |