Organization
OBSTETRIX MEDICAL GROUP OF UTAH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(954) 384-0175
Entity
Organization
Contact information
Practice address
1140 E 3900 S, STE 390, SALT LAKE CITY, UT 84124-1228
(801) 743-4700
(801) 743-4705
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(954) 858-0434
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
10/23/2024
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