Intermountain Pediatric Dialysis

NPI 1235238379 - Clinic/Center - 261QE0700X

NPI Details
NPI 1235238379
Enumeration Date 09/22/2006
Last Updated 01/23/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEVEN L STEVEN
Position PROGRAM ADMINISTRATOR
Phone (801) 581-4561
Fax
Practice Location
50 N MEDICAL DR
PA 220
SALT LAKE CITY UT, 84132-0001, US
Phone (801) 581-4561
Fax
Business Location
PO BOX 27071
SALT LAKE CITY UT, 84127-0071, US
Phone (801) 581-8578
Fax
Toxanomy
Taxonomy Code 261QE0700X
License State Utah
License Number 2006-HOSP-208
Remove 1235238379 NPI Number
 

According to our database, Intermountain Pediatric Dialysis NPI is 1235238379, taxonomy code is 261QE0700X and license number is 2006-HOSP-208, license state is located at Utah. Intermountain Pediatric Dialysis physically located at 50 N Medical Dr, Salt Lake City UT, 84132-0001. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1235238379 NPI number is provided on an as is basis without warranty of any kind. 1235238379 is maintained by the National Plan & Provider Enumeration System. The contents of Intermountain Pediatric Dialysis are for informational purposes only.