Organization · Type 2 NPI

University of Utah Division of Pediatric Neurosurgery

Neurological Surgery Physician · Salt Lake City, UT

NPI number 1417068271 Active

Practice location

100 N Medical Dr, Suite 2400
Salt Lake City, UT 84113-1103

Call (801) 588-3400 Map

Fax (801) 588-3409

Mailing address

50 N Medical Dr, 3B409-SOM
Salt Lake City, UT 84132-0001

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Pediatric Surgery Physician 2086S0120XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1417068271

University of Utah Division of Pediatric Neurosurgery's National Provider Identifier is 1417068271, issued on Aug 31, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 6, 2011.