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NPI Code Detail

MEDICARE: MADELINE P. RIPPSTEIN MD

MEDICARE: MADELINE P. RIPPSTEIN MD
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 PhysicianT8637TX

General Provider Information

NPI Number : 1538629571
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE P. RIPPSTEIN MD
Provider Business Mailing Address
First Line : 100 N MARIO CAPECCHI DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84113-1103
Country : US
Telephone Number : 801-662-5701
Fax Number :
Provider Business Practice Location Address
First Line : 100 N MARIO CAPECCHI DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84113-1103
Country : US
Telephone Number : 801-662-5701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 03/11/2026

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