Organization
SALT LAKE PEDIA CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA FOX (PEDIATRICIAN)
(801) 595-8844
Entity
Organization
Contact information
Practice address
77 SOUTH 700 EAST, SUITE #270, SALT LAKE CITY, UT 84102
(801) 595-8844
(801) 595-8844
Mailing address
77 SOUTH 700 EAST, SUITE #270, SALT LAKE CITY, UT 84102
(801) 595-8844
(801) 595-5305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1886171205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470667414024
—
UT
Enumeration date
11/16/2006
Last updated
08/22/2020
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