Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 183551-1205 | UT |
NPI | 1043276033 |
---|---|
Provider Name | Dr. Robin Gay Mainwaring |
First Address | West Valley City, UT 84120-5530 |
Second Address | Salt Lake City, UT 84107-3906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 15/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F73272 | (02) | UT |