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Organization

OBSTETRIX MEDICAL GROUP OF UTAH, PC

Active
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Organization

OBSTETRIX MEDICAL GROUP OF UTAH, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization

Contact information

Practice address
1140 E 3900 S, STE 390, SALT LAKE CITY, UT 84124-1228
(801) 743-4700
(801) 743-4705
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(954) 858-0434

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—

Other

Enumeration date
03/22/2012
Last updated
10/23/2024
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