| NPI | 1699238436 |
|---|---|
| Doing Business As | ALDER GROVE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | BRIAN A VERNON Owner 435-799-7953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |