Organization · Type 2 NPI

University of Utah Pediatric Services

Neurology with Special Qualifications in Child Neurology Physician · Idaho Falls, ID

NPI number 1669918769 Active

Practice location

1645 Pancheri Dr
Idaho Falls, ID 83402-3169

Mailing address

PO Box 841450
Los Angeles, CA 90084-1450

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402XNone listed

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1669918769

University of Utah Pediatric Services's National Provider Identifier is 1669918769, issued on Jan 12, 2017. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Idaho Falls, ID. The record was last updated on May 21, 2020.