PEDIATRIC ALLERGY NPI 1689840209

NPI Information

NPI: 1689840209
Provider Name: PEDIATRIC ALLERGY
Classification: Pediatrics - 2080P0201X
Entity Type: Organization

Specialization: Pediatric Allergy/Immunology

Address:
100 MARIO CAPECCHI DR
PEDIATRIC ALLERGY
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 662-2100
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PEDIATRIC ALLERGY is a pediatric allergy/immunology pediatrics in Salt Lake City, UT. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. PEDIATRIC ALLERGY NPI is 1689840209. 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
PEDIATRIC ALLERGY
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-2100
Fax: (801) 662-2120

The provider's authorized official is Edward B Clark .
The authorized official title is Chairperson and has the following contact phone number (801) 587-7400.

The enumeration date for this NPI number is 5/3/2008 and was last updated on 8/10/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0201X	Pediatrics	Pediatric Allergy/Immunology			Yes

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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