| NPI | 1275940611 |
|---|---|
| Doing Business As | SUNNYSIDE PEDIATRICS, LLC |
| Entity Type | Organization |
| Authorized Contact | BECKY SELLERS Practice Administrator 801-526-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |