NPI 1003825928

University of Utah Pediatric Plastic Surgery

Organisation Plastic Surgery Physician Salt Lake City, UT

Practice location

Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: (801) 581-2121
Mailing address: PO Box 58049, Salt Lake City, UT 84158-0049

Authorised official

Name: Janell I Madonna
Title: Director of Contracting and Pe
Phone: (801) 587-6464

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Utah →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Utah →

Registry record

NPI: 1003825928
Entity type: Organization
NPI issued: 7 Aug 2006
Record last updated: 14 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.