NPI 1114027968

Pediatric Nephrology Department of University of Utah

Organisation Pediatric Nephrology Physician Salt Lake City, UT

Practice location

Address: 100 N Medical Dr Pediatric Nephrology, Salt Lake City, UT 84113-1103
Phone: (801) 588-2000
Fax: (801) 587-7406
Mailing address: 295 Chipeta Way U of U Som Dept of Pediatrics, Salt Lake City, UT 84108-1220

Authorised official

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

Registered specialties (2)

Pediatric Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0210X

Other Pediatrics providers in Utah →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Registry record

NPI: 1114027968
Entity type: Organization
NPI issued: 22 Sep 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.