NPI 1790794576

Pediatric Urology Associates

Organisation Urology 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

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Utah →

Registry record

NPI: 1790794576
Entity type: Organization
NPI issued: 7 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.