Provider Demographics
NPI:1952353930
Name:GURTCHEFF, SHAWN ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:ELIZABETH
Last Name:GURTCHEFF
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1446 W PLEASANT GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-3216
Mailing Address - Country:US
Mailing Address - Phone:801-785-5100
Mailing Address - Fax:
Practice Address - Street 1:1446 W PLEASANT GROVE BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062-3216
Practice Address - Country:US
Practice Address - Phone:801-785-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT4979079-1205207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology