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NPI Code Detail

MEDICARE: PETER EDWARD SILAS M.D.

MEDICARE: PETER EDWARD SILAS M.D.
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
1208000000XPediatrics Physician326236-1205UT

General Provider Information

NPI Number : 1295733343
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER EDWARD SILAS M.D.
Provider Business Mailing Address
First Line : 2086 N 1700 W
Second Line : SUITE C
City : LAYTON
State : UT
Zip : 84041-1132
Country : US
Telephone Number : 801-773-8644
Fax Number : 801-773-9828
Provider Business Practice Location Address
First Line : 1792 W 1700 S
Second Line : SUITE 108
City : SYRACUSE
State : UT
Zip : 84075-9650
Country : US
Telephone Number : 801-773-8644
Fax Number : 801-773-9828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 09/05/2012

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Directions to “ PETER EDWARD SILAS M.D.” Practice Location

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