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Contact Information

MATERNAL FETAL SERVICES OF UTAH LLC
3100 CHANNING WAY
IDAHO FALLS, ID83404-7533
 Phone: 208-529-6111
 Fax: 208-529-7021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MATERNAL FETAL SERVICES OF UTAH LLC · (Female)

NPI # 1467675082
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2007
Last updated 11/05/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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