George W Delavan, MD

NPI #1013003904 in Salt Lake City, Utah

Provider Information

NPI Number: 1013003904
Entity Type: Individual
Name: George W Delavan, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Oct 5, 2006
Last Updated: Mar 1, 2012

Practice Location

Address: 44 N MARIO CAPECCHI DR
City: Salt Lake City
State: Utah
ZIP Code: 84132-0001
Phone: (801) 584-8239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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