Healthcare Provider Details

I. General information

NPI: 1245307842
Provider Name (Legal Business Name): WESTVIEW WOMEN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3451 S 5600 W #E
WEST VALLEY CITY UT
84120-1301
US

IV. Provider business mailing address

3451 S 5600 W #E
WEST VALLEY CITY UT
84120-1301
US

V. Phone/Fax

Practice location:
  • Phone: 801-963-1880
  • Fax: 801-963-1886
Mailing address:
  • Phone: 801-963-1880
  • Fax: 801-963-1886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5415662
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number5415662
License Number StateUT

VIII. Authorized Official

Name: LAROHNDA JESTINE DENNISON
Title or Position: VICE PRESIDENT
Credential:
Phone: 801-963-1880