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Organization

FAMILIES FIRST PEDIATRICS

Active
Parent organization
FAMILIES FIRST PEDIATRICS
Other names
Stansbury Park
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAMILIES FIRST PEDIATRICS
Authorized official
EBONIE GONZALES (CREDENTIALING)
(505) 850-3769
Entity
Organization

Contact information

Practice address
5136 N CAMBRIDGE WAY, STANSBURY PARK, UT 84095-0868
(801) 254-9700
Mailing address
5136 N CAMBRIDGE WAY, STANSBURY PARK, UT 84095-0868
(801) 254-9700

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
09/14/2023
Last updated
09/14/2023
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