| NPI | 1770513095 |
|---|---|
| Doing Business As | WASATCH NEONATAL |
| Entity Type | Organization |
| Authorized Contact | DALE R GERSTMANN Executive Director 801-655-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 184816-1205) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 2210714405) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |