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A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Nephrology |
2080P0210X | 37 | Physician/Pediatric Medicine | |
Pediatric Allergy/Immunology |
2080P0201X | 37 | Physician/Pediatric Medicine | |
Pediatric Rheumatology |
2080P0216X | 37 | Physician/Pediatric Medicine |
| NPI # | 1205940152 |
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| LBN Legal business name | PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY | ||||
| Authorized official | JILL HETTERICH - (AUTHORIZED OFFICIAL) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/18/2006 | ||||
| Last updated | 04/28/2025 - More than a year ago | ||||
| Identifiers |
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PEDIATRIC IMMUN-NEPHR-RHEUMOLOGY