Pediatric Pm And R

LBN: Pediatric Pm And R
Pediatric Pm And R is an health care organization with primary practice located at 100 Mario Capecchi Dr Room 4400, Salt Lake City UT 84113-1103. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is the primary health care specialty. Pediatric Pm And R can be contacted via phone (801) 662-4949, or through Elovic, Elie P via phone (801) 662-4949.

Contact Information

Primary practice address
100 Mario Capecchi Dr Room 4400 Salt Lake City UT 84113-1103
Phone: (801) 662-4949
Fax: (801) 662-4931
Website:
Map and Directions
Authorized official contact:
Name: Elovic, Elie P Doctor of Medicine (MD)
Phone: (801) 662-4949

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 72775361205 Utah
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 72775361205 Utah

Profile Details

NPI number 1760776223
LBN Legal business name Pediatric Pm And R
DBA Doing business as
Authorized official Elovic, Elie P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2011
Last updated Jun 1st, 2011 - about 13 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.

Request for update

Popular Providers