Primary Children's Medical Center

NPI #1225295520 in Salt Lake City, Utah

Provider Information

NPI Number
1225295520
Entity Type
Organization
Organization Name
Primary Children's Medical Center
Primary Specialty
General Acute Care Hospital - Children
Enumeration Date
May 22, 2008
Last Updated
May 22, 2008

Practice Location

Address
100 N MEDICAL DR
Address 2
PRIMARY CHILDREN'S MEDICAL CENTER PEDIATRIC CARDIOLOGY
State
Utah
ZIP Code
84113-1103
Phone
(810) 662-5400

Authorized Official

Name
DR. EDWARD CLARK, M.D.
Title
CHAIR OF PEDIATRICS
Phone
(810) 662-1000

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital - ChildrenChildren

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