NPI 1013003904

George W Delavan, MD

Practitioner Pediatrics Physician Salt Lake City, UT

Practice location

Address: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132-0001
Phone: (801) 584-8239
Fax: (801) 584-8588
Mailing address: 2691 Comanche Cir, Salt Lake City, UT 84108-2807

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 160530-1205 (UT)

Other Pediatrics providers in Utah →

Registry record

NPI: 1013003904
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2006
Record last updated: 1 Mar 2012

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.