University of Utah Pediatric Neurology

NPI #1508178476 in Riverton, Utah

Provider Information

NPI Number
1508178476
Entity Type
Organization
Organization Name
University of Utah Pediatric Neurology
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Jul 8, 2010
Last Updated
Jul 8, 2010

Practice Location

Address
3741 W 12600 S
State
Utah
ZIP Code
84065-7215
Phone
(801) 285-4000

Authorized Official

Name
DR. EDWARD B CLARK, MD
Title
CHAIRMAN
Phone
(801) 587-7400

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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