Intermountain Healthcare

NPI #1154508653 in Salt Lake City, Utah

Provider Information

NPI Number
1154508653
Entity Type
Organization
Organization Name
Intermountain Healthcare
Primary Specialty
General Acute Care Hospital - Children
Enumeration Date
Jan 28, 2008
Last Updated
Jan 28, 2008

Practice Location

Address
100 N MEDICAL DR
Address 2
PCMC
State
Utah
ZIP Code
84113-1103
Phone
(801) 662-2442

Authorized Official

Name
DONALD VERNON, MD
Title
MEDICAL DIRECTOR, PED CRIT CARE
Phone
(801) 662-2427

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital - ChildrenChildren

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