Individual
TRICIA ANNE TWELVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1750
(801) 302-1715
Mailing address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1750
(801) 302-1715
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0116016847
VA
Other
Enumeration date
07/23/2007
Last updated
05/13/2013
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