| Organization Name: | UTAH WEIGHT LOSS & NATURAL HORMONE CLINIC |
| NPI Number: | 1619286879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHRYN R WALKER (OWNER, PROVIDER) |
| Mailing Address: | 2046 Murray Holladay Rd Suite 204 Holladay |
| State: | UT US |
| Postal Code: | 841175125 |
| Phone Number: | 8012721246 |
| Fax Number: | 8012723039 |
| NPI Enumeration Date: | 10/05/2010 |
| NPI Last Update Date: | 10/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 2758224405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |