institution
Pediatric Orthopedic Associates
Diagnostic Radiology Physician in Salt Lake City, Utah
NPI 1659488799

Pediatric Orthopedic Associates is a Diagnostic Radiology Physician based in Salt Lake City, UT and is specialized in Diagnostic Radiology. Pediatric Orthopedic Associates practices in Salt Lake City, UT. The NPI Number for Pediatric Orthopedic Associates is 1659488799 and holds a License No. (Utah).

The current practice location address for Pediatric Orthopedic Associates is 100 Mario Capecchi Dr, Salt Lake City, UT and can be reached out via phone at 801-588-3900.

Location: 100 Mario Capecchi Dr, Salt Lake City, UT, 84158-0886
institution
Provider Profile Details
NPI Number
1659488799
Provider Name
Pediatric Orthopedic Associates
Credential
Provider Entity Type
Organization
Address
100 Mario Capecchi Dr, Salt Lake City, UT, 84158-0886
Phone Number
801-588-3900
Fax Number
Provider Enumeration Date
08/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22074538 01 CO COLORADO MEDICAID
806656500 01 ID IDAHO MEDICAID
122394100 01 WY WYOMING MEDICIAD
institution
Provider Business Practice Location Address Details
Address
100 Mario Capecchi Dr
City
State
Zip
84112-8924
Phone Number
801-588-3900
Fax Number
person
Provider Business Mailing Address Details
Address
100 Mario Capecchi Dr
City
State
Zip
84112-8924
Phone Number
801-588-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
()
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
License No.
()
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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