Individual
SUZANNE O'ROURKE ROTHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1906 W 3600 S, WEST VALLEY CITY, UT 84119-4715
(801) 973-9675
Mailing address
1115 E 200 S, SALT LAKE CITY, UT 84102-2503
(218) 230-4108
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
6592021-4408
UT
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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