NPI 1083623904

University of Utah Pediatric Surgeons

Organisation Pediatric Surgery Physician Salt Lake City, UT

Practice location

Address: 100 Mario Capecchi Dr Suite 2600, Salt Lake City, UT 84113-1103
Phone: (801) 662-2950

Authorised official

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

Registered specialties (2)

Pediatric Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0120X

Other Surgery providers in Utah →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Registry record

NPI: 1083623904
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.