| Eagan Valley Pediatrics, P.a. | |
|
14135 Cedar Ave Suite 100 Apple Valley MN 55124-4522 | |
| (952) 432-4373 | |
| (952) 997-5679 |
| Full Name | Eagan Valley Pediatrics, P.a. |
|---|---|
| Speciality | Clinic/center |
| Location | 14135 Cedar Ave, Apple Valley, Minnesota |
| Authorized Official Name and Position | James E Dufort (PRESIDENT) |
| Authorized Official Contact | 9524324373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagan Valley Pediatrics, P.a. 14135 Cedar Ave Suite 100 Apple Valley MN 55124-4522 Ph: (952) 432-4373 | Eagan Valley Pediatrics, P.a. 14135 Cedar Ave Suite 100 Apple Valley MN 55124-4522 Ph: (952) 432-4373 |
| NPI Number | 1528050119 |
|---|---|
| Provider Enumeration Date | 08/19/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528050119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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