Organization
AMERICAN FORK PEDIATRICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D WHITING M.D. (OWNER)
(801) 492-4333
Entity
Organization
Contact information
Practice address
48 N 1100 E, SUITE C, AMERICAN FORK, UT 84003-2910
(801) 492-4333
(801) 492-4371
Mailing address
48 N 1100 E, SUITE C, AMERICAN FORK, UT 84003-2910
(801) 492-4333
(801) 492-4371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
168875-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534542093027
—
UT
Enumeration date
05/27/2015
Last updated
05/27/2015
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