Individual
ALEXANDRA GROSVENOR ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 N 1900 E # 2B-200, SALT LAKE CITY, UT 84132-0002
(801) 581-7092
Mailing address
PO BOX 58859, SALT LAKE CITY, UT 84158-0859
(801) 585-5172
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5792769-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6078
—
UT
Enumeration date
10/16/2006
Last updated
10/21/2021
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