| NPI | 1871976985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANSEL RAYNER Owner 801-938-9627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 6814504-1206) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-11-03 |