Shriners Hospitals for Children
NPI #1033789755 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1033789755
- Entity Type
- Organization
- Organization Name
- Shriners Hospitals for Children
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Jun 25, 2021
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 1275 E FAIRFAX RD
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84103-4324
- Phone
- (801) 536-3500
Authorized Official
- Name
- JERRY G. GANTT
- Title
- PRESIDENT
- Phone
- (813) 281-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Rehabilitation — Rehabilitation |
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