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Organization
PEDIATRIC CARE INC
Active
Organization
PEDIATRIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET WOODS (ADMINISTRATOR)
(801) 400-2050
Entity
Organization
Contact information
Practice address
1675 N. FREEDOM BLVD., #3, PROVO, UT 84604
(801) 377-8000
(801) 377-8001
Mailing address
PO BOX 1001, PROVO, UT 84603-1001
(801) 377-8000
(801) 377-8001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/22/2006
Last updated
11/10/2011
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