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Organization
EAGLE MOUNTAIN MIDWIFE LLC
Active
Organization
EAGLE MOUNTAIN MIDWIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLAN (MIDWIFE)
(801) 671-8589
Entity
Organization
Contact information
Practice address
1229 RAVEN WAY, EAGLE MOUNTAIN, UT 84005-6147
(801) 472-8567
Mailing address
1229 RAVEN WAY, EAGLE MOUNTAIN, UT 84005-6147
(801) 472-8567
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
NULL
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
10/29/2013
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