# MILLCREEK WOMENS CENTER

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

## Provider details

- **NPI number:** 1992710602
- **Authorized official:** MS. DEANNA V KINIKINI (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (801) 262-8666

## Contact information

- **Practice address:** 1140 E 3900 S, SUITE 410, SALT LAKE CITY, UT 84124-1228
- **Practice address phone:** (801) 262-8666
- **Practice address fax:** (801) 263-8821
- **Mailing address:** 1140 E 3900 S, SUITE 410, SALT LAKE CITY, UT 84124-1228
- **Mailing address phone:** (801) 262-8666
- **Mailing address fax:** (801) 262-8666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 3355524402 | UT | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 08/22/2020