Pediatric Gastroenterology Department of University of Utah
NPI #1609820232 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1609820232
- Entity Type
- Organization
- Organization Name
- Pediatric Gastroenterology Department of University of Utah
- Primary Specialty
- Pediatrics - Pediatric Gastroenterology
- Enumeration Date
- May 19, 2006
- Last Updated
- Sep 6, 2011
Practice Location
- Address
- 100 N MEDICAL DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1103
- Phone
- (801) 588-3370
Authorized Official
- Name
- DR. EDWARD B CLARK, MD
- Title
- CHAIR
- Phone
- (801) 587-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Pediatrics - Pediatric Gastroenterology — Pediatric Gastroenterology |
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