University of Utah Pediatric Surgeons
NPI #1083623904 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1083623904
- Entity Type
- Organization
- Organization Name
- University of Utah Pediatric Surgeons
- Primary Specialty
- Surgery - Pediatric Surgery
- Enumeration Date
- Aug 7, 2006
- Last Updated
- Apr 14, 2009
Practice Location
- Address
- 100 MARIO CAPECCHI DR
- Address 2
- SUITE 2600
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1103
- Phone
- (801) 662-2950
Authorized Official
- Name
- JANELL I MADONNA
- Title
- DIRECTOR OF CONTRACTING AND PE
- Phone
- (801) 587-6464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Surgery - Pediatric Surgery — Pediatric Surgery |
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