| NPI | 1750742607 |
|---|---|
| Doing Business As | PEDIATRIC ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL FINLAYSON Chief Clinical Officer 801-587-6336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2021-01-22 |