PEDIATRIC AND YOUNG ADULT MEDICINE PA NPI 1932316916

NPI Information

PEDIATRIC AND YOUNG ADULT MEDICINE, PA is a primary care clinic center in Saint Paul, MN. PEDIATRIC AND YOUNG ADULT MEDICINE, PA NPI is 1932316916. The provider is registered as an organization entity type.

The provider's business location address is:

1804 7TH ST W
SUITE 200
SAINT PAUL, MN
ZIP 55116-300
Phone: (651) 227-7806
Fax: (651) 256-6766

The provider's authorized official is Terri M Joseph .
The authorized official title is Clinic Administrator and has the following contact phone number (651) 256-6706.

The CLIA number assigned to this NPI record is 24D0398909 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 12/7/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.