Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intermountain Pediatric Clinic

Organization Pediatric Hospice and Palliative Medicine Physician · NPI 1740499433

Intermountain Pediatric Clinic is a Pediatric Hospice and Palliative Medicine Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007

Practice location Address checks out

508 E South Temple Ste 310
Salt Lake City, UT 84102-1013
Phone: (801) 355-4316
Fax: (801) 355-6267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hospice and Palliative Medicine Physician (primary) Taxonomy 2080H0002X · Licence 19920633 (UT)

Record details

NPI number1740499433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Harris — Office Manager · (801) 355-4316
NPI enumeratedMay 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013

Other providers in Salt Lake City