| NPI | 1639391402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. REX NIELSEN President 435-637-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 94-272238-1205) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |