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1952353930

NPI Code Detail

MEDICARE: DR. SHAWN ELIZABETH GURTCHEFF MD

MEDICARE: DR. SHAWN ELIZABETH GURTCHEFF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	4979079-1205	UT
2	207VE0102X	Reproductive Endocrinology Physician	4979079-1205	UT

General Provider Information

NPI Number	:	1952353930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAWN ELIZABETH GURTCHEFF MD

Provider Business Mailing Address
First Line	:	1446 W PLEASANT GROVE BLVD
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-3216
Country	:	US
Telephone Number	:	801-785-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1446 W PLEASANT GROVE BLVD
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-3216
Country	:	US
Telephone Number	:	801-785-5100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/28/2023

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Directions to “ DR. SHAWN ELIZABETH GURTCHEFF MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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