| NPI | 1962184077 |
|---|---|
| Doing Business As | SCL HEALTH MEDICAL GROUP - LAFAYETTE WOMENS HEALTH (MFM, OBYN, UROGYN) |
| Doing Business As | INTERMOUNTAIN HEALTH LAFAYETTE WOMEN'S CLINIC -MATERNAL FETAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Of Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-06-28 |