Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 48270 | MN |
N | 207VX0000X | Obstetrician | VT 042-0010589 | VT |
NPI | 1164484382 |
---|---|
Provider Name | Dr. Helen Feltovich |
First Address | Salt Lake City, UT 84127-0128 |
Second Address | Provo, UT 84604-3380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 02/08/2012 |