# OBSTETRIX MEDICAL GROUP OF UTAH, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457627507
- **Authorized official:** NANETTE SANDERS (ASSISTANT SECRETARY)
- **Authorized official phone:** (954) 384-0175

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2012
- **Last updated:** 10/23/2024