NPI | 1568916054 |
---|---|
Doing Business As | PEDS OB/GYN SPECIALTY DIVISION |
Entity Type | Organization |
Authorized Contact | SAMUEL FINLAYSON Chief Clinical Officer 801-587-6336 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2016-08-12 |
Last Update Date | 2021-01-22 |