# STANSBURY PEDIATRICS, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366654535
- **Authorized official:** DR. HEIDI S MCMILLAN MD (OWNER)
- **Authorized official phone:** (435) 882-1288

## Contact information

- **Practice address:** 210 MILLPOND, STANSBURY PARK, UT 84074
- **Practice address phone:** (435) 882-1288
- **Practice address fax:** (435) 882-1275
- **Mailing address:** PO BOX 932, SANDY, UT 84091-0932
- **Mailing address phone:** (801) 553-9568
- **Mailing address fax:** (801) 553-9562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | 5904241-1205 | UT | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020