| Direct Pay Pediatrics | |
|
1434 E 9400 S Ste 100 Sandy UT 84093-2909 | |
| (385) 463-2757 | |
| (385) 488-0693 |
| Full Name | Direct Pay Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 1434 E 9400 S Ste 100, Sandy, Utah |
| Authorized Official Name and Position | Dallin Hubbard (PRESIDENT) |
| Authorized Official Contact | 3854632757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Pay Pediatrics 1434 E 9400 S Ste 100 Sandy UT 84093-2909 Ph: (385) 463-2757 | Direct Pay Pediatrics 1434 E 9400 S Ste 100 Sandy UT 84093-2909 Ph: (385) 463-2757 |
| NPI Number | 1003678178 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003678178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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