| NPI | 1326200940 |
|---|---|
| Doing Business As | AVENUES OBSTETRICS AND GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec Pres Mg 801-442-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 176B00000X Midwife (Licence: UT 5342008) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-01-28 |