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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