Intermountain Pediatric Clinic
NPI #1740499433 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1740499433
- Entity Type
- Organization
- Organization Name
- Intermountain Pediatric Clinic
- Primary Specialty
- Pediatrics - Hospice and Palliative Medicine
- Enumeration Date
- May 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 508 E SOUTH TEMPLE
- Address 2
- SUITE 310
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84102-1013
- Phone
- (801) 355-4316
Authorized Official
- Name
- MS. SUSAN HARRIS
- Title
- OFFICE MANAGER
- Phone
- (801) 355-4316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Hospice and Palliative Medicine — Hospice and Palliative Medicine |
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