NPI | 1023472594 |
---|---|
Doing Business As | PEDIATRIC ALLERGY |
Entity Type | Organization |
Authorized Contact | SAMUEL FINLAYSON Chief Clinical Officer 801-587-6336 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology |
Enumeration Date | 2016-04-11 |
Last Update Date | 2021-01-22 |