University Of Utah Pediatric Plastic Surgery

NPI 1003825928 - Surgery - 208600000X

NPI Details
NPI 1003825928
Enumeration Date 08/07/2006
Last Updated 04/14/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JANELL I JANELL
Position DIRECTOR OF CONTRACTING AND PE
Phone (801) 581-2121
Fax
Practice Location
50 N MEDICAL DR
SALT LAKE CITY UT, 84132-0001, US
Phone (801) 581-2121
Fax
Business Location
PO BOX 58049
SALT LAKE CITY UT, 84158-0049, US
Phone (801) 581-7073
Fax
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, University Of Utah Pediatric Plastic Surgery NPI is 1003825928, taxonomy code is 208600000X University Of Utah Pediatric Plastic Surgery physically located at 50 N Medical Dr, Salt Lake City UT, 84132-0001. NPI Number 1033115704 has the healthcare provider type.

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1003825928 NPI number is provided on an as is basis without warranty of any kind. 1003825928 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Utah Pediatric Plastic Surgery are for informational purposes only.