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Organization
WASATCH NEONATAL LC
Active
Organization
WASATCH NEONATAL LC
Active
Other names
Wasatch Neonatal
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE R GERSTMANN M.D. (EXECUTIVE DIRECTOR)
(801) 655-5425
Entity
Organization
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(801) 655-5425
(801) 655-5426
Mailing address
730 W 800 N STE 340B, OREM, UT 84057-6300
(801) 655-5425
(801) 655-5426
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
184816-1205
UT
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2210714405
UT
Other
Enumeration date
07/03/2006
Last updated
09/11/2025
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