PEDIATRIC ALLERGY

SALT LAKE CITY, UT
NPI1689840209
Entity TypeOrganization
Authorized ContactEDWARD B CLARK
Chairperson
801-587-7400
Organization Subpart ?No
Primary Taxonomy2080P0201X Pediatrics, Pediatric Allergy/Immunology
Enumeration Date2008-05-03
Last Update Date2010-08-10
Business Address
PEDIATRIC ALLERGY
100 MARIO CAPECCHI DR PEDIATRIC ALLERGY
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-2100
Mailing Address
PEDIATRIC ALLERGY
295 CHIPETA WAY U OF U SOM DEPT OF PEDIATRICS
SALT LAKE CITY, UT 84108-1220
Phone number: 801-587-7400
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