University of Utah General Pediatrics

NPI #1023051166 in Salt Lake City, Utah

Provider Information

NPI Number: 1023051166
Entity Type: Organization
Organization Name: University of Utah General Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Jun 14, 2006
Last Updated: Sep 6, 2011

Practice Location

Address: 100 N MEDICAL DR
City: Salt Lake City
State: Utah
ZIP Code: 84113-1103
Phone: (801) 588-2233

Authorized Official

Name: EDWARD B CLARK, MD
Title: CHAIR
Phone: (801) 587-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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