GEORGE W DELAVAN

SALT LAKE CITY, UT
NPI1013003904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  160530-1205)
Enumeration Date2006-10-05
Last Update Date2012-03-01
Business Address
GEORGE W DELAVAN MD
44 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-584-8239
Mailing Address
GEORGE W DELAVAN MD
2691 COMANCHE CIR
SALT LAKE CITY, UT 84108-2807
Phone number: 801-581-1258