Eagan Valley Pediatrics, P.a.
NPI #1528050119 in Apple Valley, Minnesota
Provider Information
- NPI Number
- 1528050119
- Entity Type
- Organization
- Organization Name
- Eagan Valley Pediatrics, P.a.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 19, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 14135 CEDAR AVE
- Address 2
- SUITE 100
- City
- Apple Valley
- State
- Minnesota
- ZIP Code
- 55124-4522
- Phone
- (952) 432-4373
Authorized Official
- Name
- JAMES E DUFORT, M.D.
- Title
- PRESIDENT
- Phone
- (952) 432-4373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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