Unknown Individual – Pediatrics Physician, NPI 1225056013
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1300 East, Sage Crest Subdivision Number 5, Sandy, Salt Lake County, Utah, 84094, United States
#100
SANDY, UT 840943712
Phone: (801) 571-8550
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 571-8550
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84094)
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