Individual provider · Type 1 NPI

Shad Outsen, MD

Pediatric Critical Care Medicine Physician · Provo, UT

NPI number 1487815536 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Call (801) 357-7481 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician Primary 2080P0203X7365706-1205 (UT)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1487815536

Shad Outsen, MD's National Provider Identifier is 1487815536, issued on Jun 21, 2008. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Provo, UT. The record was last updated on Apr 25, 2022.