Leslie Divall

NPI #1639539521 in Provo, Utah

Provider Information

NPI Number: 1639539521
Entity Type: Individual
Name: Leslie Divall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Midwife
Enumeration Date: Mar 4, 2016
Last Updated: Apr 15, 2020

Practice Location

Address: 589 S STATE ST
City: Provo
State: Utah
ZIP Code: 84606-5056
Phone: (801) 429-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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