Individual
DR. DEIRDRE CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1446 W PLEASANT GROVE BLVD, PLEASANT GROVE, UT 84062-3216
(801) 785-5100
Mailing address
1446 W PLEASANT GROVE BLVD, PLEASANT GROVE, UT 84062-3216
(801) 785-5100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A99248
CA
207VE0102X
Reproductive Endocrinology Physician
Primary
8343768-1205
UT
207VE0102X
Reproductive Endocrinology Physician
M-12884
ID
Other
Enumeration date
06/06/2007
Last updated
09/23/2019
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