Individual provider · Type 1 NPI
Philip Gail Itkin
Pediatric Adolescent Medicine Physician · Temple, TX
NPI number
1447322490
Active
Practice location
2401 S 31st St
Temple, TX 76508-0001
Mailing address
PO Box 847408
Dallas, TX 75284-7408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 13775 (NE) |
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | N7706 (TX) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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About NPI 1447322490
Philip Gail Itkin's National Provider Identifier is 1447322490, issued on Nov 14, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Temple, TX. The record was last updated on Sep 6, 2011.