MEDICARE: ABC PEDIATRICS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	347103-1205	UT

General Provider Information

NPI Number	:	1114149572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABC PEDIATRICS, P.C.

Provider Business Mailing Address
First Line	:	7929 S FOREST OAKS CT
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-5737
Country	:	US
Telephone Number	:	801-274-0317
Fax Number	:	801-210-5350

Provider Business Practice Location Address
First Line	:	6360 S 3000 E
Second Line	:	SUITE 230
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-6923
Country	:	US
Telephone Number	:	801-523-3030
Fax Number	:	801-523-3033

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PETER K MOSKOWITZ
Credential	:	MD
Telephone Number	:	801-523-3030

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	12/02/2015

Similar Medicare Providers

1144229931 — DR. PETER KENNETH MOSKOWITZ M.D.
Practice Location Address:

6360 S 3000 E , STE 230
COTTONWOOD HEIGHTS, UT
84121-6923

Practice Phone: 801-523-3030
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1114017712 — STEPHANIE SUE GELMAN MD
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6360 S 3000 E , STE 230
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6360 S 3000 E , STE 230
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1831681923 — DAVIS TIMPSON DPT
Practice Location Address:

6360 S 3000 E # 150
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Practice Fax:

1578103669 — MARNIQUA SPENCER
Practice Location Address:

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1285627455 — DR. JOSE AZARCON JR. D.O.
Practice Location Address:

6360 S 3000 E , STE 100
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