Organization · Type 2 NPI

University Cardiothoracic-Pediatric

Surgery Physician · Salt Lake City, UT

NPI number 1790794014 Active

Practice location

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

Mailing address

PO Box 58049
Salt Lake City, UT 84158-0049

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed
Pediatric Surgery Physician 2086S0120XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1790794014

University Cardiothoracic-Pediatric's National Provider Identifier is 1790794014, issued on Aug 5, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 14, 2009.