Individual
DR. REBECCA RACHEL EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 E CAMPUS CENTER DR, SALT LAKE CITY, UT 84112-8914
(801) 889-0670
Mailing address
13869 S CORA B LN, HERRIMAN, UT 84096-6940
(801) 889-0670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
338773-3102
UT
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
338773-3102
UT
207V00000X
Obstetrics & Gynecology Physician
338773-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338773-3102
DOPL
UT
Enumeration date
06/05/2024
Last updated
06/05/2024
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