Organization · Type 2 NPI
University of Utah Pediatric Behavioral Health Services
Sports Medicine (Psychiatry & Neurology) Physician · Salt Lake City, UT
NPI number
1467320671
Active
Practice location
590 S Wakara Way
Salt Lake City, UT 84108-1200
Mailing address
PO Box 841450
Los Angeles, CA 90084-1450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Psychiatry & Neurology) Physician Primary | 2084S0010X | None listed |
Sports Medicine (Psychiatry & Neurology) Physician: A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.
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About NPI 1467320671
University of Utah Pediatric Behavioral Health Services's National Provider Identifier is 1467320671, issued on Oct 28, 2025. The primary taxonomy on file is Sports Medicine (Psychiatry & Neurology) Physician (2084S0010X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 28, 2025.