NPI 1821548702
Intermountain Healthcare
Practice location
- Address
- 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
- Phone
- (801) 662-5318
Authorised official
- Name
- Heidi Bagley
- Title
- Clinical Dietitian
- Phone
- (801) 631-5327
Registered specialties
Children's Chronic Disease Hospital
Primary
Registry record
- NPI
- 1821548702
- Entity type
- Organization
- NPI issued
- 4 Oct 2016
- Record last updated
- 4 Oct 2016
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.