Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 4883089-1205 | UT |
NPI | 1023086444 |
---|---|
Provider Name | Susan T Horvath |
First Address | Atlanta, GA 30384-8546 |
Second Address | Salt Lake City, UT 84124-1269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 27/01/2022 |