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NPI Code Detail

MEDICARE: JUSTIN CHARLES ALVEY M.D.

MEDICARE: JUSTIN CHARLES ALVEY 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 Physician325484-1205UT

General Provider Information

NPI Number : 1346248465
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN CHARLES ALVEY M.D.
Provider Business Mailing Address
First Line : PO BOX 581289
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84158-1289
Country : US
Telephone Number : 801-585-6943
Fax Number : 801-581-3899
Provider Business Practice Location Address
First Line : 295 S CHIPETA WAY
Second Line : UNIVERSITY OF UTAH DEPARTMENT OF PEDIATRICS
City : SALT LAKE CITY
State : UT
Zip : 84108-1287
Country : US
Telephone Number : 801-585-6943
Fax Number : 801-581-3899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 10/16/2021

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Directions to “ JUSTIN CHARLES ALVEY M.D.” Practice Location

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