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PEDIATRIC EMERGENCY SEDATION SERVICE NPI 1245524651


NPI Information

NPI: 1245524651
Provider Name: PEDIATRIC EMERGENCY SEDATION SERVICE
Classification: Pediatrics - 2080P0204X
Entity Type: Organization

Specialization: Pediatric Emergency Medicine

Address:
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 662-1234
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PEDIATRIC EMERGENCY SEDATION SERVICE is a pediatric emergency medicine pediatrics in Salt Lake City, UT. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. PEDIATRIC EMERGENCY SEDATION SERVICE NPI is 1245524651. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-1234

The provider's authorized official is Janell Madonna .
The authorized official title is Contracting Director and has the following contact phone number (801) 587-6464.

The enumeration date for this NPI number is 6/2/2011 and was last updated on 9/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0204XPediatricsPediatric Emergency Medicine3176341205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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