Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 255681 | MA |
Y | 207VE0102X | Reproductive Endocrinologist | 12132686-8905 | UT |
NPI | 1114151099 |
---|---|
Provider Name | Kristi Maas |
First Address | Sandy, UT 84092-4318 |
Second Address | Sandy, UT 84092-4318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2009 |
Last Update Date | 15/03/2021 |