Organization · Type 2 NPI

Pediatric Emergency Sedation Service

Pediatric Emergency Medicine (Pediatrics) Physician · Salt Lake City, UT

NPI number 1245524651 Active

Practice location

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

PO Box 413021
Salt Lake City, UT 84141-3021

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X3176341205 (UT)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1245524651

Pediatric Emergency Sedation Service's National Provider Identifier is 1245524651, issued on Jun 2, 2011. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 6, 2011.