Organization · Type 2 NPI

Pediatric Genetics Department of University of Utah

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

NPI number 1629022827 Active

Practice location

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

Fax (801) 585-7252

Mailing address

295 Chipeta Way, Peds Admin
Salt Lake City, UT 84108-1220

Specialties and licenses

TaxonomyCodeLicense
Clinical Genetics (M.D.) Physician Primary 207SG0201XNone listed
Pediatrics Physician 208000000XNone listed

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

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About NPI 1629022827

Pediatric Genetics Department of University of Utah's National Provider Identifier is 1629022827, issued on May 20, 2006. 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 Sep 6, 2011.