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

Pediatric Allergy

Organization Pediatric Allergy/Immunology Physician · NPI 1689840209

Pediatric Allergy is a Pediatric Allergy/Immunology Physician in Salt Lake City, Utah. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

100 Mario Capecchi Dr Pediatric Allergy
Salt Lake City, UT 84113-1103
Phone: (801) 662-2100
Fax: (801) 662-2120
Show map & directions

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

Specialties & licences

Pediatric Allergy/Immunology Physician (primary) Taxonomy 2080P0201X

Record details

NPI number1689840209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Clark — Chairperson · (801) 587-7400
NPI enumeratedMay 3, 2008
Last updated in NPPESAugust 10, 2010
Mailing address295 Chipeta Way, U Of U Som Dept Of Pediatrics, Salt Lake City, UT 84108-1220

Other providers in Salt Lake City