Individual provider · Type 1 NPI

Dana Boucek

Pediatric Cardiology Physician · Salt Lake City, UT

NPI number 1154612117 Active

Practice location

100 North Mario Capecchi Dr., Primary Children's
Salt Lake City, UT 84113

Call (801) 662-5700 Map

Mailing address

3601 Market St Unit 1713
Philadelphia, PA 19104-5914

Other practice locations

  • 3401 Civic Center Blvd, Division Of Pediatric Cardiology, Phildelphia, PA 19104 · (215) 590-3274

Specialties and licenses

TaxonomyCodeLicense
Pediatric Cardiology Physician Primary 2080P0202XMD460722 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Cardiology Physician: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

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About NPI 1154612117

Dana Boucek's National Provider Identifier is 1154612117, issued on Apr 26, 2011. The primary taxonomy on file is Pediatric Cardiology Physician (2080P0202X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 28, 2021.