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Organization

MOUNTAINSTAR BRIGHAM OBGYN, LLC

Active
Other names
Brigham Center for Women's Health
Organization subpart
No

Provider details

NPI number
Authorized official
LOUIS JOSEPH (VP)
(615) 373-7630
Entity
Organization

Contact information

Practice address
970 MEDICAL DR STE 202, BRIGHAM CITY, UT 84302-3286
(435) 695-2273
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134379696
UT
Enumeration date
09/22/2008
Last updated
08/29/2023
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