| NPI | 1992710602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA V KINIKINI Administrative Assistant 801-262-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 3355524402) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |