Organization · Type 2 NPI

University of Utah Adult Services

Clinical Genetics (M.D.) Physician · Salt Lake City, UT

NPI number 1508222167 Active

Practice location

50 N Medical Dr, Clinic 1
Salt Lake City, UT 84132-0100

Call (801) 581-2628 Map

Mailing address

PO Box 841450
Los Angeles, CA 90084-1450

Specialties and licenses

Taxonomy	Code	License
Clinical Genetics (M.D.) Physician Primary	207SG0201X	None listed

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

1,476 other providers at this address

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NPI record

NPI: 1508222167
Entity type: Organization (Type 2)
Issued: Jan 12, 2016
Last updated: May 20, 2020
Status: Active
Subpart: Yes of University of Utah Adult Services

Other names

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U of U Medical Genetics · doing business as
U of U Medical Genetics · doing business as

Authorized official

Edward Clark
Dept Chair
(801) 587-6336

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508222167

University of Utah Adult Services's National Provider Identifier is 1508222167, issued on Jan 12, 2016. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Salt Lake City, UT. The record was last updated on May 20, 2020.