PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH NPI 1629022827

NPI Information

PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH is a clinical genetics (m.d.) medical genetics in Salt Lake City, UT. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH NPI is 1629022827. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 581-8943
Fax: (801) 585-7252

The provider's authorized official is Edward B Clark .
The authorized official title is Chair and has the following contact phone number (801) 587-7400.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 9/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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