| 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 |