| NPI | 1972654895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA LINDELY Director 801-581-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-09-11 |