South Summit Pediatrics. LLC

NPI #1760490122 in Draper, Utah

Provider Information

NPI Number: 1760490122
Entity Type: Organization
Organization Name: South Summit Pediatrics. LLC
Primary Specialty: Legal Medicine
Enumeration Date: Aug 3, 2006
Last Updated: Nov 13, 2007

Practice Location

Address: 267 E TRAVERSEPOINT DRIVE
City: Draper
State: Utah
ZIP Code: 84020
Phone: (801) 567-9780

Authorized Official

Name: DR. PAUL S LEI, M.D.
Title: OWNER
Phone: (801) 567-9780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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