Organization
PEDIATRIX MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE SANDERS (AUTHORIZED OFFICER)
(800) 463-6628
Entity
Organization
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
Mailing address
PO BOX 840532, DALLAS, TX 75284-0532
(877) 737-4546
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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