Eagle Mountain Midwife LLC
NPI #1598101313 in Eagle Mountain, Utah
Provider Information
- NPI Number
- 1598101313
- Entity Type
- Organization
- Organization Name
- Eagle Mountain Midwife LLC
- Primary Specialty
- Advanced Practice Midwife
- Enumeration Date
- May 20, 2013
- Last Updated
- Oct 29, 2013
Practice Location
- Address
- 1229 RAVEN WAY
- City
- Eagle Mountain
- State
- Utah
- ZIP Code
- 84005-6147
- Phone
- (801) 472-8567
Authorized Official
- Name
- MICHAEL ALLAN
- Title
- MIDWIFE
- Phone
- (801) 671-8589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Advanced Practice Midwife |
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