Pediatric and Young Adult Medicine, PA

NPI #1205078300 in Eagan, Minnesota

Provider Information

NPI Number
1205078300
Entity Type
Organization
Organization Name
Pediatric and Young Adult Medicine, PA
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Apr 3, 2009
Last Updated
Dec 7, 2016

Practice Location

Address
3470 WASHINGTON DR
Address 2
SUITE 201
City
Eagan
ZIP Code
55122-1355
Phone
(651) 256-6706

Authorized Official

Name
MS. TERRI M JOSEPH
Title
OFFICE MANAGER
Phone
(651) 256-6706

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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