Organization
SALT LAKE WOMEN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LAMAR TWEDE M.D. (OWNER)
(801) 561-3922
Entity
Organization
Contact information
Practice address
10011 CENTENNIAL PKWY, SUITE 350, SANDY, UT 84070-4156
(801) 561-3922
(801) 569-8710
Mailing address
10011 CENTENNIAL PKWY, SUITE 350, SANDY, UT 84070-4156
(801) 561-3922
(801) 569-8710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
181357-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576727491009
—
UT
Enumeration date
06/07/2007
Last updated
08/22/2020
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