University Of Utah Pediatric Surgeons

NPI 1083623904 - Surgery - 208600000X

NPI Details
NPI 1083623904
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) 662-2950
Fax
Practice Location
100 MARIO CAPECCHI DR
SUITE 2600
SALT LAKE CITY UT, 84113-1103, US
Phone (801) 662-2950
Fax
Business Location
100 MARIO CAPECCHI DR
SUITE 2600
SALT LAKE CITY UT, 84113-1103, US
Phone (801) 662-0250
Fax
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, University Of Utah Pediatric Surgeons NPI is 1083623904, taxonomy code is 208600000X University Of Utah Pediatric Surgeons physically located at 100 Mario Capecchi Dr, Salt Lake City UT, 84113-1103. NPI Number 1033115704 has the healthcare provider type.

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1083623904 NPI number is provided on an as is basis without warranty of any kind. 1083623904 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Utah Pediatric Surgeons are for informational purposes only.