Organization · Type 2 NPI
University of Utah Pediatric Services
Pediatric Hematology & Oncology Physician · Salt Lake City, UT
NPI number
1104280684
Active
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Mailing address
PO Box 841450
Los Angeles, CA 90084-1450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Hematology & Oncology Physician Primary | 2080P0207X | None listed |
Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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About NPI 1104280684
University of Utah Pediatric Services's National Provider Identifier is 1104280684, issued on Apr 11, 2016. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 22, 2021.