Miracle Midwifery Birth Center, LLC

NPI #1134776065 in Layton, Utah

Provider Information

NPI Number: 1134776065
Entity Type: Organization
Organization Name: Miracle Midwifery Birth Center, LLC
Primary Specialty: Clinic/Center - Birthing
Enumeration Date: Aug 26, 2019
Last Updated: Aug 26, 2019

Practice Location

Address: 360 S FORT LN STE 1B
City: Layton
State: Utah
ZIP Code: 84041-5700
Phone: (801) 923-8806

Authorized Official

Name: KRISTA LYNN MIRACLE, CPM
Title: CLINICAL DIRECTOR
Phone: (801) 923-8806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Birthing — Birthing	261QB0400X	Primary

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