Organization
WESTERN NEWBORN SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN LIU (PARTNER)
(801) 296-2113
Entity
Organization
Contact information
Practice address
1140 E 3900 S, SALT LAKE CITY, UT 84124-1228
(801) 248-7111
(801) 296-1715
Mailing address
PO BOX 520691, SALT LAKE CITY, UT 84152-0691
(801) 296-2113
(801) 296-1715
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
1359340-0144
UT
Other
Enumeration date
07/19/2005
Last updated
08/22/2020
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