Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Gastroenterology

Organization Pediatric Gastroenterology Physician · NPI 1356188064

Pediatric Gastroenterology is a Pediatric Gastroenterology Physician in Murray, Utah. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

164 E 5900 S Ste A112
Murray, UT 84107-7274
Phone: (385) 478-8975
Fax: (801) 269-9894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X

Record details

NPI number1356188064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louis Mizell — Owner · (385) 478-8975
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address1191 W Midas Trail Cir, South Jordan, UT 84095-8215

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