Organization · Type 2 NPI
University of Utah Pediatric Surgeons
Pediatric Surgery Physician · Salt Lake City, UT
NPI number
1083623904
Active
Practice location
100 Mario Capecchi Dr, Suite 2600
Salt Lake City, UT 84113-1103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | None listed |
| Pediatric Surgery Physician Primary | 2086S0120X | None listed |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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About NPI 1083623904
University of Utah Pediatric Surgeons's National Provider Identifier is 1083623904, issued on Aug 7, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 14, 2009.