| NPI | 1699917617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T. ROTH Owner 801-261-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 2636901205) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2020-10-26 |