Organization · Type 2 NPI
Park City Internal Medicine - Pediatrics, LC
Health Service Clinic/Center · Park City, UT
NPI number
1750569562
Active
Practice location
1612 Ute Blvd, Ste 205
Park City, UT 84098-7500
Fax (435) 655-3392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 5151398-1205 (UT) |
Health Service Clinic/Center: Definition to come...
3 other providers at this address
Other health service clinic/center providers in Park City
About NPI 1750569562
Park City Internal Medicine - Pediatrics, LC's National Provider Identifier is 1750569562, issued on Feb 4, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Park City, UT. The record was last updated on May 18, 2011.