| NPI | 1285204834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALY A KUSHNIR Medical Director 801-580-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2021-06-27 |