| NPI | 1801154422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO M. STEVENSON Owner/President 801-621-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 631472211205) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |