NPI 1114096195

Pediatric Cardiology Department of University of Utah

Organisation Pediatric Cardiology Physician Salt Lake City, UT

Practice location

Address: 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103
Phone: (801) 662-5400
Fax: (801) 662-5404
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 Cardiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0202X

Other Pediatrics providers in Utah →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Registry record

NPI: 1114096195
Entity type: Organization
NPI issued: 6 Nov 2006
Record last updated: 15 Sep 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.