Individual
VIRGINIA JEAN HOMEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3336 S 4155 W, STE 301, SALT LAKE CITY, UT 84120-2000
(801) 964-3865
(801) 964-3894
Mailing address
3336 S 4155 W, STE 301, SALT LAKE CITY, UT 84120-2000
(801) 964-3865
(801) 964-3894
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7960145-1205
UT
207V00000X
Obstetrics & Gynecology Physician
MD61215011
WA
Other
Enumeration date
08/07/2008
Last updated
09/02/2021
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