Dana Boucek
Pediatric Cardiologist
100 North Mario Capecchi Dr. Primary Children's
Salt Lake City
, Utah 84113
Dana Boucek
Pediatric Cardiologist
100 North Mario Capecchi Dr. Primary Children's
Salt Lake City
, Utah 84113
(303) 746-7692
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dana Boucek
- 3601 Market St Unit 1713
- Philadelphia, PA
- Zip : 19104-5914
- Phone : (303) 746-7692
Second Address
- Dana Boucek
- 100 North Mario Capecchi Dr. Primary Children's
- Salt Lake City, UT
- Zip : 84113
- Phone : (801) 662-5700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | MD460722 | PA |
National Provider Identifier
| NPI | 1154612117 |
|---|---|
| Provider Name | Dana Boucek |
| First Address | Philadelphia, PA 19104-5914 |
| Second Address | Salt Lake City, UT 84113 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2011 |
| Last Update Date | 28/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.