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Organization
DIRECT PAY PEDIATRICS
Active
Organization
DIRECT PAY PEDIATRICS
Active
Other names
Direct Care Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALLIN HUBBARD MD, PHD (PRESIDENT)
(385) 463-2757
Entity
Organization
Contact information
Practice address
1434 E 9400 S STE 100, SANDY, UT 84093-2909
(385) 463-2757
(385) 488-0693
Mailing address
1434 E 9400 S STE 100, SANDY, UT 84093-2909
(385) 463-2757
(385) 488-0693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
03/19/2024
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