George W Delavan
MD | Pediatrics | Male
George W Delavan, MD is a Salt Lake City, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of George W Delavan is
44 N Mario Capecchi Dr, Salt Lake City, Utah - 84132-0001. He can be contacted on phone at
801-584-8239 and fax number 801-584-8588.
George W Delavan is a sole proprietor of his business.
NPI number (Unique professional ID) for George W Delavan is
1013003904 which was assigned by NPPES on 05 Oct, 2006 and it was last updated on 01 Mar, 2012.
George W Delavan license number is
160530-1205 for Pediatrics (208000000X) in Utah.
George W Delavan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
George W Delavan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | George W Delavan |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
George W Delavan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 44 N Mario Capecchi Dr
Salt Lake City, UT, 84132-0001
United States |
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| Phone Number : | 801-584-8239 |
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| Fax Number : | 801-584-8588 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013003904 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Oct, 2006 |
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| Last Updated On : | 01 Mar, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for George W Delavan are as mentioned. Primary taxonomy code for George W Delavan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 160530-1205 | UT |
Legacy Identifiers:
Other legacy medical identifiers of George W Delavan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 999000021002 | MEDICAID | UT | |
| 876000545 | Other | UT | STATE OF UTAH DEPT. OF HEALTH |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2691 Comanche Cir
Salt Lake City, UT, 84108-2807
United States |
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| Phone Number : | 801-581-1258 |
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Business Location:
Patients can refer following map for directions to
George W Delavan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.