Utah Breastfeeding and Tongue Tie Center
Utah Breastfeeding and Tongue Tie Center provides Family Medicine Physician services in Bountiful, Utah. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
70 N Main StBountiful, UT 84010-6101
Phone: (801) 923-4122
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1780301440 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sherry Gunn — Owner · (801) 787-5047 |
| NPI enumerated | October 24, 2022 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | October 24, 2022 |
| Mailing address | 70 N Main St, Bountiful, UT 84010-6101 |
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Dr. Ralph David Wade, DO
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