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Organization
BOUNTIFUL PEDIATRICS AND NEONATOLOGY INC
Active
Organization
BOUNTIFUL PEDIATRICS AND NEONATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ANTHONY CALABRESE MD (OWNER)
(801) 295-6233
Entity
Organization
Contact information
Practice address
345 N DAVIS BLVD, BOUNTIFUL, UT 84010-1808
(801) 295-6233
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(888) 700-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
259915-1205
UT
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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