NPI 1629022827

Pediatric Genetics Department of University of Utah

Organisation Clinical Genetics (M.D.) Physician Salt Lake City, UT

Practice location

Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: (801) 581-8943
Fax: (801) 585-7252
Mailing address: 295 Chipeta Way Peds Admin, Salt Lake City, UT 84108-1220

Authorised official

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

Registered specialties (2)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X

Other Medical Genetics providers in Utah →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Utah →

Registry record

NPI: 1629022827
Entity type: Organization
NPI issued: 20 May 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.