Individual
SAMUEL GREG HEYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 W 400 N, OREM, UT 84057-1950
(801) 714-3422
(801) 714-3424
Mailing address
505 W 400 N STE C, OREM, UT 84057-1950
(304) 345-4525
(304) 345-4527
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20012
WV
207VX0000X
Obstetrics Physician
Primary
11283381-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001717320
BLUE CROSS
WV
05
—
1802068000
—
WV
01
—
245048
MAMSI UNITED HEALTH CARE
WV
01
—
550691297
CIGNA
WV
01
—
7672206
AETNA
WV
Enumeration date
07/25/2006
Last updated
10/18/2024
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