Organization
CNM
Active
Organization
CNM
Active
Other names
Birth Rite Midwifery
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI ROUNDY CNM (OWNER)
(801) 566-2952
Entity
Organization
Contact information
Practice address
4749 S HOLLADAY BLVD, HOLLADAY, UT 84117-5420
(801) 566-2952
(801) 931-2006
Mailing address
4749 S HOLLADAY BLVD, REAR, HOLLADAY, UT 84117-5420
(801) 566-2952
(801) 931-2006
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
84597310151
UT
261QM2500X
Medical Specialty Clinic/Center
84597310151
UT
Other
Enumeration date
10/09/2012
Last updated
05/09/2014
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