Pediatric and Young Adult Medicine, PA
NPI #1932316916 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1932316916
- Entity Type
- Organization
- Organization Name
- Pediatric and Young Adult Medicine, PA
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 17, 2007
- Last Updated
- Dec 7, 2016
Practice Location
- Address
- 1804 7TH ST W
- Address 2
- SUITE 200
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55116-2300
- Phone
- (651) 227-7806
Authorized Official
- Name
- MS. TERRI M JOSEPH
- Title
- CLINIC ADMINISTRATOR
- Phone
- (651) 256-6706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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