University of Utah Adult Services

NPI #1649724139 in Farmington, Utah

Provider Information

NPI Number: 1649724139
Entity Type: Organization
Organization Name: University of Utah Adult Services
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF UTAH ADULT SERVICES
Primary Specialty: Dermatology
Enumeration Date: Aug 12, 2016
Last Updated: May 19, 2020

Practice Location

Address: 165 N. UNIVERSITY AVE. FARMINGTON
City: Farmington
State: Utah
ZIP Code: 84025
Phone: (801) 213-3200

Authorized Official

Name: EDWARD J CLARK, MD
Title: DEPARTMENT CHAIR
Phone: (801) 587-6336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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