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Organization

SUNNYSIDE PEDIATRICS

Active
Other names
Sunnyside Pediatrics, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
BECKY SELLERS (PRACTICE ADMINISTRATOR)
(801) 526-8353
Entity
Organization

Contact information

Practice address
1060 E 100 S, #400, SALT LAKE CITY, UT 84102-1501
(801) 521-2640
(801) 363-6407
Mailing address
1060 E 100 S, #400, SALT LAKE CITY, UT 84102-1501
(801) 521-2640
(801) 363-6407

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
07/17/2014
Last updated
07/17/2014
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