NPI 1508875857

University of Utah Otolaryngology Pediatrics

Organisation Otolaryngology Physician Salt Lake City, UT

Practice location

Address: 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103
Phone: (801) 588-2000
Mailing address: PO Box 413035, Salt Lake City, UT 84141-0001

Authorised official

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

Registered specialties (4)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Utah →

Pediatric Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207YP0228X

Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X

Other Audiologist providers in Utah →

Assistive Technology Practitioner Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231HA2400X

Registry record

NPI: 1508875857
Entity type: Organization
NPI issued: 5 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.