Organization
MOUNTAINLAND FAMILY AND BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE RENA BLACKETT C.P.M, L.D.E.M (OWNER/MIDWIFE)
(801) 200-1873
Entity
Organization
Contact information
Practice address
36 SUMMER PL, SARATOGA SPRINGS, UT 84045-6408
(801) 200-1873
Mailing address
1416 N REDWOOD RD, SARATOGA SPRINGS, UT 84045-6455
(801) 252-6243
(801) 407-1821
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
2864863400
UT
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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