Night Light Pediatrics Llc
Pediatric Adolescent Medicine
Night Light Pediatrics Llc is a St George, Utah based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1240 E 100 S Ste 14, St George, Utah - 84790-3005. They can be contacted on phone at
435-628-8034.
NPI number (Unique professional ID) for Night Light Pediatrics Llc is
1295855914 which was assigned by NPPES on 29 Mar, 2007 and it was last updated on 25 Jul, 2007.
Night Light Pediatrics Llc license number is
88-178110-1205 for Pediatrics Adolescent Medicine (2080A0000X) in Utah.
Night Light Pediatrics Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Night Light Pediatrics Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Night Light Pediatrics Llc |
|---|
Business Address:
Night Light Pediatrics Llc 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 : | 1240 E 100 S Ste 14
St George, UT, 84790-3005
United States |
|---|
| Phone Number : | 435-628-8034 |
|---|
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 : | 1295855914 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Mar, 2007 |
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| Last Updated On : | 25 Jul, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jerryd Twiggs |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 435-628-8034 |
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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 Night Light Pediatrics Llc are as mentioned. Primary taxonomy code for Night Light Pediatrics Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 88-178110-1205 | UT |
Legacy Identifiers:
Other legacy medical identifiers of Night Light Pediatrics Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 09165 | MEDICAID | UT | |
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 : | 1240 E 100 S Ste 14
St George, UT, 84790-3005
United States |
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| Phone Number : | 435-628-8034 |
|---|
Business Location:
Patients can refer following map for directions to
Night Light Pediatrics Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.