Pediatric Inpatient Services Riverton

NPI #1851609564 in Riverton, Utah

Provider Information

NPI Number
1851609564
Entity Type
Organization
Organization Name
Pediatric Inpatient Services Riverton
Primary Specialty
Pediatrics
Enumeration Date
Sep 15, 2010
Last Updated
Sep 15, 2010

Practice Location

Address
3741 W 126000 S
State
Utah
ZIP Code
84065
Phone
(801) 285-4000

Authorized Official

Name
MICHELLE A DONE
Title
MANAGER, PROVIDER ENROLLMENT
Phone
(801) 285-4000

Specialties & Taxonomy Codes

Specialty
Pediatrics

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