| NPI | 1376795989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M SINGER Manager 435-214-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 4894125-1204) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2010-03-12 |