Salt Lake Pedia Center INC
Pediatrics in Salt Lake City, UT. Organization (NPI-2).
NPI number1982777074
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982777074
- Entity type
- Organization (NPI-2)
- Legal business name
- Salt Lake Pedia Center INC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 1886171205 | UT | Yes |
Practice location
77 South 700 EastSuite #270
Salt Lake City, UT 84102
Phone 801-595-8844 · Fax 801-595-8844
Mailing address
77 South 700 EastSuite #270
Salt Lake City, UT 84102
Phone 801-595-8844 · Fax 801-595-5305
Authorized official
Rita Fox
Pediatrician
8015958844
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