| NPI | 1205386281 |
|---|---|
| Doing Business As | DELL RANGE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | VIJAYA MADHAVI KODURI Owner 307-365-8789 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2024-03-05 |