JED B VANDENBERGHE

SALT LAKE CITY, UT
NPI1922011576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  871778461205)
Enumeration Date2006-08-14
Last Update Date2007-11-15
Business Address
-- JED B VANDENBERGHE MD
2180 E 4500 S
SALT LAKE CITY, UT 84117-4434
Phone number: 801-278-4693
Mailing Address
-- JED B VANDENBERGHE MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-278-4693
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