Pediatric Allergy

LBN: Pediatric Allergy
Pediatric Allergy is an health care organization with primary practice located at 100 Mario Capecchi Dr Pediatric Allergy, Salt Lake City UT 84113-1103. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as the primary health care specialty. Pediatric Allergy can be contacted via phone (801) 662-2100, or through Clark, Edward B via phone (801) 587-7400.

Contact Information

Primary practice address
100 Mario Capecchi Dr Pediatric Allergy Salt Lake City UT 84113-1103
Phone: (801) 662-2100
Fax: (801) 662-2120
Website:
Map and Directions
Authorized official contact:
Name: Clark, Edward B Doctor of Medicine (MD)
Phone: (801) 587-7400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X

Profile Details

NPI number 1689840209
LBN Legal business name Pediatric Allergy
DBA Doing business as
Authorized official Clark, Edward B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2008
Last updated Aug 10th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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