Organization
DEVELOPMENTAL PEDIATRICS
Active
Other names
U of U Developmental Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH P RINGWOOD (PROVIDER ENROLLMENT SPECIALIST)
(801) 587-6466
Entity
Organization
Contact information
Practice address
44 N MEDICAL DR, SALT LAKE CITY, UT 84113-1105
(801) 213-3469
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-0001
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
03/30/2009
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