| The Child's Alliance, Llc | |
|
1909 S 4250 W Ofc A Salt Lake City UT 84104-4837 | |
| (801) 675-8777 | |
| (801) 852-0325 |
| Full Name | The Child's Alliance, Llc |
|---|---|
| Speciality | Physician Assistant - Medical |
| Location | 1909 S 4250 W Ofc A, Salt Lake City, Utah |
| Authorized Official Name and Position | Nathanael Wesley Ridge (OWNER) |
| Authorized Official Contact | 8014488699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Child's Alliance, Llc 11721 S Silver Spur Ln Draper UT 84020-4515 Ph: (801) 462-3925 | The Child's Alliance, Llc 1909 S 4250 W Ofc A Salt Lake City UT 84104-4837 Ph: (801) 675-8777 |
| NPI Number | 1780459016 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/24/2023 |
| Certification Date | 11/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780459016 | NPI | - | NPPES |
| 6833666-2501 | Other | UT | DOPL |
| 6833666-1206 | Other | UT | DOPL |
| 1134424641 | Other | UT | NPPES |
| 6833666-8906 | Other | UT | DOPL |
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