| NPI | 1194969493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BEARNSON Owner 801-272-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 173454-1205) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2012-03-12 |