Organization
DINOSAURLAND PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA L LAROQUE (OFFICE MANAGER)
(435) 789-9060
Entity
Organization
Contact information
Practice address
175 N 100 W, STE 106, VERNAL, UT 84078-2049
(435) 789-9060
Mailing address
175 N 100 W, STE 106, VERNAL, UT 84078-2049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
12/03/2010
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