Whalio Doctors

NPI 1760490122

South Summit Pediatrics. LLC

Organisation Legal Medicine Draper, UT

Practice location

Address
267 E Traversepoint Drive, Draper, UT 84020
Phone
(801) 567-9780
Fax
(801) 567-9826

Authorised official

Name
Paul S Lei
Title
Owner
Phone
(801) 567-9780

Registered specialties

Legal Medicine Primary
Other Service Providers Taxonomy 173000000X Licence 363788-1205 (UT)

Registry record

NPI
1760490122
Entity type
Organization
NPI issued
3 Aug 2006
Record last updated
13 Nov 2007

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.