George W Delavan MD

NPI 1013003904 - Pediatrics - 208000000X

NPI Details
NPI 1013003904
Gender Male
Enumeration Date 10/05/2006
Last Updated 03/01/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
44 N MARIO CAPECCHI DR
SALT LAKE CITY UT, 84132-0001, US
Phone (801) 584-8239
Fax (801) 584-8588
Business Location
2691 COMANCHE CIR
SALT LAKE CITY UT, 84108-2807, US
Phone (801) 581-1258
Fax
Toxanomy
Taxonomy Code 208000000X
License State Utah
License Number 160530-1205
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According to our database, George W Delavan MD NPI is 1013003904, taxonomy code is 208000000X and license number is 160530-1205, license state is located at Utah. George W Delavan MD physically located at 44 N Mario Capecchi Dr, Salt Lake City UT, 84132-0001. NPI Number George W Delavan MD has the Individual type.

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1013003904 NPI number is provided on an as is basis without warranty of any kind. 1013003904 is maintained by the National Plan & Provider Enumeration System. The contents of George W Delavan MD are for informational purposes only.