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Organization

GYNECOLOGY SPECIALISTS OF UTAH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM JOHNSON (GROUP VP/AO)
(615) 372-3375
Entity
Organization

Contact information

Practice address
5495 S 500 E, OGDEN, UT 84405-6923
(801) 476-4200
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7406
(866) 346-1426

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
04/22/2011
Last updated
08/29/2023
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