Night Light Pediatrics Llc in St George - Adolescent Medicine
Night Light Pediatrics Llc - NPI 1295855914
Night Light Pediatrics Llc is a Adolescent Medicine in St George, Utah. Night Light Pediatrics Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Night Light Pediatrics Llc is 1295855914. The last update date is 2007-07-25.
Night Light Pediatrics Llc's current location address is 1240 E 100 S Ste 14, St George, Utah. You can contact this provider via phone number 4356288034. The mailing address for Night Light Pediatrics Llc is 1240 E 100 S Ste 14, St George, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Night Light Pediatrics Llc |
|---|---|
| Address | 1240 E 100 S Ste 14, St George, Utah |
| Phone Number | 4356288034 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Twiggs D Jerry |
| Credentials | M.D. |
| Telephone Number | 4356288034 |
NPI Number Detail
| NPI Number | 1295855914 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-25 |
Provider Mailing Address Detail
| Address | 1240 E 100 S Ste 14 |
|---|---|
| City | St George |
| State | Utah (UT) |
| Post Code | 847903005 |
| Phone Number | 4356288034 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 88-178110-12 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9165 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Night Light Pediatrics Llc by the Centers for Medicare & Medicaid Services?
The Night Light Pediatrics Llc has been issued the NPI (National Provider Identifier) 1295855914, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Night Light Pediatrics Llc is located?
The Night Light Pediatrics Llc is situated at the following address: 1240 E 100 S Ste 14, St George, UT, 847903005.
What is Night Light Pediatrics Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Night Light Pediatrics Llc's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
On what date did the Night Light Pediatrics Llc receive its 1295855914 assignment from the Centers for Medicare & Medicaid Services?
The Night Light Pediatrics Llc was assigned its 1295855914 by the Centers for Medicare & Medicaid Services on 2007-03-29.
As of what date was the information pertaining to Night Light Pediatrics Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Night Light Pediatrics Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-25.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC