NPI 1154508653
Intermountain Healthcare
Practice location
- Address
- 100 N Medical Dr Pcmc, Salt Lake City, UT 84113-1103
- Phone
- (801) 662-2442
- Fax
- (801) 662-2469
Authorised official
- Name
- Donald Vernon
- Title
- Medical Director, Ped Crit Care
- Phone
- (801) 662-2427
Registered specialties
Children's Hospital
Primary
Registry record
- NPI
- 1154508653
- Entity type
- Organization
- NPI issued
- 28 Jan 2008
- Record last updated
- 28 Jan 2008
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.