Pediatric Allergy
Pediatric Allergy-Immunology
Pediatric Allergy is a Salt Lake City, Utah based Pediatric center with medical specialization in
Pediatric Allergy-Immunology.
It is located at
100 Mario Capecchi Dr, Pediatric Allergy, Salt Lake City, Utah - 84113-1103. They can be contacted on phone at
801-662-2100 and fax number 801-662-2120.
NPI number (Unique professional ID) for Pediatric Allergy is
1689840209 which was assigned by NPPES on 03 May, 2008 and it was last updated on 10 Aug, 2010.
Pediatric Allergy specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Pediatric Allergy basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Allergy/Immunology |
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Provider Name : | Pediatric Allergy |
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Business Address:
Pediatric Allergy 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 : | 100 Mario Capecchi Dr, Pediatric Allergy Salt Lake City, UT, 84113-1103 United States |
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Phone Number : | 801-662-2100 |
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Fax Number : | 801-662-2120 |
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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 : | 1689840209 |
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NPI Entity Type : | Organization |
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First Enrolment Date : | 03 May, 2008 |
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Last Updated On : | 10 Aug, 2010 |
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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 : | Edwardb Clark |
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Authorized Official Credential : | MD |
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Official Title or Position : | CHAIRPERSON |
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Phone Number : | 801-587-7400 |
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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 Pediatric Allergy are as mentioned. Primary taxonomy code for Pediatric Allergy is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | | |
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 : | 295 Chipeta Way, U Of U Som Dept Of Pediatrics Salt Lake City, UT, 84108-1220 United States |
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Phone Number : | 801-587-7400 |
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Fax Number : | 801-587-7417 |
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Business Location:
Patients can refer following map for directions to
Pediatric Allergy practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.