Organization · Type 2 NPI

Pediatric Allergy

Pediatric Allergy/Immunology Physician · Salt Lake City, UT

NPI number 1689840209 Active

Practice location

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

Call (801) 662-2100 Map

Fax (801) 662-2120

Mailing address

295 Chipeta Way, U Of U Som Dept Of Pediatrics
Salt Lake City, UT 84108-1220

Specialties and licenses

TaxonomyCodeLicense
Pediatric Allergy/Immunology Physician Primary 2080P0201XNone listed

Pediatric Allergy/Immunology Physician: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

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About NPI 1689840209

Pediatric Allergy's National Provider Identifier is 1689840209, issued on May 3, 2008. The primary taxonomy on file is Pediatric Allergy/Immunology Physician (2080P0201X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 10, 2010.