Internal Med-Micu/department of University of Utah

NPI #1457670788 in Salt Lake City, Utah

Provider Information

NPI Number: 1457670788
Entity Type: Organization
Organization Name: Internal Med-Micu/department of University of Utah
Primary Specialty: Internal Medicine
Enumeration Date: May 26, 2010
Last Updated: May 26, 2010

Practice Location

Address: 50 N MEDICAL DR
City: Salt Lake City
State: Utah
ZIP Code: 84132-0001
Phone: (801) 581-2121

Authorized Official

Name: JANELL MADONNA
Title: DIRECTOR
Phone: (801) 587-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Critical Care Medicine — Critical Care Medicine	207RC0200X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Physician Assistant	363A00000X
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner	363L00000X
Nurse Practitioner - Critical Care Medicine — Critical Care Medicine	363LC0200X
Internal Medicine	207R00000X	Primary

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