Individual
JACQUELINE BIERWIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-4300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-4300
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
13153580-1205
UT
2080N0001X
Neonatal-Perinatal Medicine Physician
FB0753601
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
05/01/2026
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