Provider Demographics
NPI:1134313323
Name:PHASE II CENTER FOR WOMENS HEALTH
Entity Type:Organization
Organization Name:PHASE II CENTER FOR WOMENS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-722-4450
Mailing Address - Street 1:3970 S 700 E STE 14
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2585
Mailing Address - Country:US
Mailing Address - Phone:385-257-6284
Mailing Address - Fax:801-281-9681
Practice Address - Street 1:3970 S 700 E STE 14
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2585
Practice Address - Country:US
Practice Address - Phone:385-257-6284
Practice Address - Fax:801-281-9681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty