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Organization

SOUTH SUMMIT PEDIATRICS. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL S LEI M.D. (OWNER)
(801) 567-9780
Entity
Organization

Contact information

Practice address
267 E TRAVERSEPOINT DRIVE, DRAPER, UT 84020
(801) 567-9780
(801) 567-9826
Mailing address
267 E TRAVERSEPOINT DRIVE, DRAPER, UT 84020
(801) 567-9780
(801) 567-9826

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
363788-1205
UT

Other

Enumeration date
08/03/2006
Last updated
11/13/2007
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