| NPI | 1669617445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY K BEARD Owner 801-355-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 156053-1205) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |