NPI 1023051166

University of Utah General Pediatrics

Organisation Pediatrics Physician Salt Lake City, UT

Practice location

Address: 100 N Medical Dr, Salt Lake City, UT 84113-1103
Phone: (801) 588-2233
Fax: (801) 588-2236
Mailing address: 295 Chipeta Way Peds Admin, Salt Lake City, UT 84108-1220

Authorised official

Name: Edward B Clark
Title: Chair
Phone: (801) 587-7400

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Utah →

Registry record

NPI: 1023051166
Entity type: Organization
NPI issued: 14 Jun 2006
Record last updated: 6 Sep 2011

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.