Southdale Pediatric Associates, Ltd in Edina - Multi-specialty
Southdale Pediatric Associates, Ltd - NPI 1245305895
Southdale Pediatric Associates, Ltd is a Multi-specialty in Edina, Minnesota. Southdale Pediatric Associates, Ltd practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Southdale Pediatric Associates, Ltd is 1245305895. The last update date is 2020-08-22.
Southdale Pediatric Associates, Ltd's current location address is 3955 Parklawn Ave, Edina, Minnesota. You can contact this provider via phone number 9528311944 and fax number 9522786947. The mailing address for Southdale Pediatric Associates, Ltd is 3955 Parklawn Ave, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southdale Pediatric Associates, Ltd |
|---|---|
| Address | 3955 Parklawn Ave, Edina, Minnesota |
| Phone Number | 9528311944 |
| Fax Number | 9522786947 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Oster Vicki |
| Credentials | MD |
| Telephone Number | 9528311944 |
NPI Number Detail
| NPI Number | 1245305895 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3955 Parklawn Ave |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554355655 |
| Phone Number | 9528311944 |
| Fax Number | 9522786947 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 196 |
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Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the Southdale Pediatric Associates, Ltd's unique identification number?
The Southdale Pediatric Associates, Ltd has been assigned the NPI (National Provider Identifier) Number 1245305895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Southdale Pediatric Associates, Ltd located?
The Southdale Pediatric Associates, Ltd is located at 3955 Parklawn Ave, Edina, MN 554355655.
What is the Southdale Pediatric Associates, Ltd's specialty and taxonomy code?
The Southdale Pediatric Associates, Ltd's specialty is Multi-specialty, and the corresponding taxonomy code is 261Qm1300X.
When was the Southdale Pediatric Associates, Ltd's 1245305895 issued?
The Southdale Pediatric Associates, Ltd's 1245305895 was issued on 2006-11-21.
When was the information regarding Southdale Pediatric Associates, Ltd most recently updated?
The details pertaining to the Southdale Pediatric Associates, Ltd, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.