NPI 1003678178
Direct Pay Pediatrics
Practice location
- Address
- 1434 E 9400 S STE 100, Sandy, UT 84093-2909
- Phone
- (385) 463-2757
- Fax
- (385) 488-0693
Authorised official
- Name
- Dallin Hubbard
- Title
- President
- Phone
- (385) 463-2757
Registered specialties (2)
Pediatrics Physician
Primary
Family Medicine Physician
Registry record
- NPI
- 1003678178
- Entity type
- Organization
- NPI issued
- 25 Jan 2024
- Record last updated
- 19 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.