Pediatric Care INC

NPI #1811956352 in Provo, Utah

Provider Information

NPI Number: 1811956352
Entity Type: Organization
Organization Name: Pediatric Care INC
Primary Specialty: Pediatrics
Enumeration Date: Mar 22, 2006
Last Updated: Nov 10, 2011

Practice Location

Address: 1675 N. FREEDOM BLVD.
Address 2: #3
City: Provo
State: Utah
ZIP Code: 84604
Phone: (801) 377-8000

Authorized Official

Name: BRET WOODS
Title: ADMINISTRATOR
Phone: (801) 400-2050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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