Organization · Type 2 NPI

University of Utah Pediatric Neurology

Multi-Specialty Clinic/Center · Riverton, UT

NPI number 1508178476 Active

Practice location

3741 W 12600 S
Riverton, UT 84065-7215

Mailing address

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X48547254405 (UT)

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1508178476

University of Utah Pediatric Neurology's National Provider Identifier is 1508178476, issued on Jul 8, 2010. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Riverton, UT. The record was last updated on Jul 8, 2010.