Organization · Type 2 NPI

University of Utah Pediatric Services

Neurological Surgery Physician · Salt Lake City, UT

NPI number 1740644319 Active

Practice location

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

Call (801) 587-6336 Map

Mailing address

PO Box 841450
Los Angeles, CA 90084-1450

Specialties and licenses

Taxonomy	Code	License
Neurological Surgery Physician Primary	207T00000X	None listed
Pediatric Surgery Physician	2086S0120X	None listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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NPI record

NPI: 1740644319
Entity type: Organization (Type 2)
Issued: Apr 11, 2016
Last updated: Jan 22, 2021
Status: Active
Subpart: Yes of University of Utah Pediatric Services

Other names

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Pediatric Neurosurgery Specialty Services · doing business as
Pediatric Neurosurgery Specialty Services · doing business as

Authorized official

Dr. Samuel Finlayson, MD
Chief Clinical Officer
(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 1740644319

University of Utah Pediatric Services's National Provider Identifier is 1740644319, issued on Apr 11, 2016. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jan 22, 2021.