OrganizationActive
Ageless Womens Health Ut LLC
NPI 1053017004 · Family Medicine Physician · Marriott Slaterville, UT
Provider details
- NPI number
- 1053017004
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Teah Smith, Credentialing Manager
Practice location
1920 W 250 N Ste 2
Marriott Slaterville, UT 84404-9234
Phone: (602) 582-1706
Mailing address
1920 W 250 N Ste 2
Marriott Slaterville, UT 84404-9234
Registry dates
- Enumerated
- 2023-02-01
- Last updated
- 2024-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.