Dana Boucek
NPI #1154612117 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1154612117
- Entity Type
- Individual
- Name
- Dana Boucek
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pediatrics - Pediatric Cardiology
- Enumeration Date
- Apr 26, 2011
- Last Updated
- Oct 28, 2021
Practice Location
- Address
- 100 NORTH MARIO CAPECCHI DR.
- Address 2
- PRIMARY CHILDREN'S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113
- Phone
- (801) 662-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Cardiology — Pediatric Cardiology |
| Student in an Organized Health Care Education/Training Program |
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