Organization Name: | FAMILIES FIRST PEDIATRICS |
NPI Number: | 1205184728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW N COX (PART OWNER) |
Mailing Address: | 13242 S 5600 W Herriman |
State: | UT US |
Postal Code: | 840967776 |
Phone Number: | 8012549700 |
Fax Number: | 8012549755 |
NPI Enumeration Date: | 08/15/2012 |
NPI Last Update Date: | 08/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 4148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |