NPI 1770841785

University of Utah Pediatric Cardiology Electrophysiology Svcs

Organisation Electrodiagnostic Medicine 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, Salt Lake City, UT 84108-1287

Authorised official

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

Registered specialties (3)

Electrodiagnostic Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204R00000X

Other Electrodiagnostic Medicine providers in Utah →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Utah →

Pediatric Cardiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0202X

Registry record

NPI: 1770841785
Entity type: Organization
NPI issued: 26 Apr 2012
Record last updated: 22 May 2012

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.