University Of Utah Pediatric Neurology

NPI 1508178476 - Clinic/Center - 261QM1300X

NPI Details
NPI 1508178476
Enumeration Date 07/08/2010
Last Updated 07/08/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EDWARD B EDWARD
Position CHAIRMAN
Phone (801) 285-4000
Fax
Practice Location
3741 W 12600 S
RIVERTON UT, 84065-7215, US
Phone (801) 285-4000
Fax
Business Location
100 MARIO CAPECCHI DR
SALT LAKE CITY UT, 84113-1103, US
Phone (801) 662-5696
Fax (801) 662-5699
Toxanomy
Taxonomy Code 261QM1300X
License State Utah
License Number 48547254405
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According to our database, University Of Utah Pediatric Neurology NPI is 1508178476, taxonomy code is 261QM1300X and license number is 48547254405, license state is located at Utah. University Of Utah Pediatric Neurology physically located at 3741 W 12600 S, Riverton UT, 84065-7215. NPI Number 1033115704 has the healthcare provider type.

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1508178476 NPI number is provided on an as is basis without warranty of any kind. 1508178476 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Utah Pediatric Neurology are for informational purposes only.