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1356188064
PEDIATRIC GASTROENTEROLOGY
MURRAY, UT
NPI
1356188064
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Entity Type
Organization
Authorized Contact
LOUIS MIZELL
Owner
385-478-8975
Organization Subpart ?
No
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
PEDIATRIC GASTROENTEROLOGY
164 E 5900 S STE A112
MURRAY, UT 84107-7274
Phone number: 385-478-8975
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Mailing Address
PEDIATRIC GASTROENTEROLOGY
1191 W MIDAS TRAIL CIR
SOUTH JORDAN, UT 84095-8215
Phone number: 385-478-8975
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