George W Delavan, MD - Pediatrics in Salt Lake City, UT

George W Delavan, MD is a Pediatrics physician based in Salt Lake City, Utah. George W Delavan is licensed to practice in Utah (license number 160530-1205) and his current practice location is 44 N Mario Capecchi Dr, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 584-8239.

NPI number for George W Delavan is 1013003904 and his current mailing address is 2691 Comanche Cir, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013003904.

Contact Information

George W Delavan, MD
44 N Mario Capecchi Dr,
Salt Lake City, UT 84132-0001
(801) 584-8239
(801) 584-8588

Map and Direction




Physician's Profile

Full NameGeorge W Delavan
GenderMale
SpecialityPediatrics
Location44 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013003904
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 03/01/2012

Medical Identifiers

Medical identifiers for George W Delavan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013003904NPI-NPPES
999000021002MedicaidUT
876000545OtherUTSTATE OF UTAH DEPT. OF HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 160530-1205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. George W Delavan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
George W Delavan, MD
2691 Comanche Cir,
Salt Lake City, UT 84108-2807

Ph: (801) 581-1258
George W Delavan, MD
44 N Mario Capecchi Dr,
Salt Lake City, UT 84132-0001

Ph: (801) 584-8239

Reviews and Comments


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