Dinosaurland Pediatrics

NPI #1700071024 in Vernal, Utah

Provider Information

NPI Number: 1700071024
Entity Type: Organization
Organization Name: Dinosaurland Pediatrics
Primary Specialty: Specialist
Enumeration Date: Sep 10, 2007
Last Updated: Dec 3, 2010

Practice Location

Address: 175 N 100 W
Address 2: STE 106
City: Vernal
State: Utah
ZIP Code: 84078-2049
Phone: (435) 789-9060

Authorized Official

Name: SHAWNA L LAROQUE
Title: OFFICE MANAGER
Phone: (435) 789-9060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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