Constance K Maves in Salt Lake City - Pediatric Radiology
Constance K Maves - NPI 1063513596
Constance K Maves is a Pediatric Radiology in Salt Lake City, Utah. Constance K Maves practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Constance K Maves is 1063513596. The last update date is 2008-06-17.
Constance K Maves's current location address is 100 N Medical Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016621900 and fax number 8016621810. The mailing address for Constance K Maves is 100 N Medical Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constance K Maves |
|---|---|
| Address | 100 N Medical Dr, Salt Lake City, Utah |
| Phone Number | 8016621900 |
| Fax Number | 8016621810 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063513596 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 100 N Medical Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841131103 |
| Phone Number | 8016621900 |
| Fax Number | 8016621810 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | 5010881-1205 |
|
Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1070011544101 | UT | SELECTHEALTH | |
| 1600468 | UT | UNITED HEALTHCARE | |
| 50108811200001 | UT | BLUE SHIELD | |
| 67154 | UT | PUBLIC EMPLOYEES HEALTH | |
| 870355724MAV | UT | EDUCATORS MUTUAL | |
| 8550895 | UT | AETNA | |
| 31853 | UT | UUHN | |
| 35834 | UT | DESERET MUTUAL | |
| QM0000027099 | UT | ALTIUS |
Post Comment/ Review Below
What is the Constance K Maves's 1063513596?
The Constance K Maves's NPI (National Provider Identifier) Number is 1063513596. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Constance K Maves is physically located?
The Constance K Maves is physically situated at the following address: 100 N Medical Dr, Salt Lake City, UT, 841131103.
What is Constance K Maves's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Constance K Maves's specialized field of practice is Pediatric Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085P0229X.
On what date was the 1063513596 assigned to Constance K Maves?
The Constance K Maves was issued its 1063513596 on 2006-09-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Constance K Maves's details last updated?
The information pertaining to the Constance K Maves, including its address, specialty, and other details, was most recently updated on 2008-06-17.