Pediatric Allergy in Salt Lake City - Pediatric Allergy/immunology

Pediatric Allergy - NPI 1689840209

Pediatric Allergy is a Pediatric Allergy/immunology in Salt Lake City, Utah. Pediatric Allergy practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Pediatric Allergy is 1689840209. The last update date is 2010-08-10.

Pediatric Allergy's current location address is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016622100 and fax number 8016622120. The mailing address for Pediatric Allergy is 100 Mario Capecchi Dr, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Allergy
Address 100 Mario Capecchi Dr, Salt Lake City, Utah
Phone Number 8016622100
Fax Number 8016622120
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHAIRPERSO
Authorized Official Name Clark B Edward
Credentials MD
Telephone Number 8015877400

NPI Number Detail

NPI Number 1689840209
Provider Enumeration Date 2008-05-03
Last Updated Date 2010-08-10

Provider Mailing Address Detail

Address 100 Mario Capecchi Dr
City Salt Lake City
State Utah (UT)
Post Code 841131103
Phone Number 8016622100
Fax Number 8016622120

Provider's Primary Taxonomy Detail

Speciality Pediatric Allergy/immunology
Taxonomy 2080P0201X
Definition:
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

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FAQs about Pediatric Allergy

What is the unique 10-digit identification code issued to Pediatric Allergy by the Centers for Medicare & Medicaid Services?

The Pediatric Allergy has been assigned the NPI (National Provider Identifier) 1689840209 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Pediatric Allergy's physical address?

The Pediatric Allergy is physically located at 100 Mario Capecchi Dr, in the city of Salt Lake City, UT, with the postal code 841131103.

What is Pediatric Allergy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Pediatric Allergy is Pediatric Allergy/immunology, and the corresponding taxonomy classification code for this specialized field is 2080P0201X.

On what date did Pediatric Allergy receive its 1689840209 assignment from the Centers for Medicare & Medicaid Services?

The Pediatric Allergy was assigned its 1689840209 on 2008-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Pediatric Allergy's details last updated?

The information pertaining to the Pediatric Allergy, including its address, specialty, and other details, was most recently updated on 2010-08-10.

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