Organization
PEDIATRIC RADIOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH S WHITE MD (PRESIDENT)
(801) 487-0451
Entity
Organization
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1900
(801) 662-1810
Mailing address
869 E 4500 S, PMB 511, SALT LAKE CITY, UT 84107-3049
(801) 487-0451
(801) 487-2467
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
06/17/2008
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