Organization · Type 2 NPI

University of Utah Pediatric Services

Pediatric Surgery Physician · Salt Lake City, UT

NPI number 1255795308 Active

Practice location

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125

Mailing address

PO Box 841450
Los Angeles, CA 90084-1450

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

210 other providers at this address

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About NPI 1255795308

University of Utah Pediatric Services's National Provider Identifier is 1255795308, issued on Apr 5, 2016. 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 Jan 22, 2021.