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

Pediatric Urology Associates

Organization Urology Physician · NPI 1790794576

Pediatric Urology Associates is an Urology Physician in Salt Lake City, Utah. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 588-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1790794576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janell Madonna — Director Of Contracting And Pe · (801) 587-6464
NPI enumeratedAugust 7, 2006
Last updated in NPPESApril 14, 2009
Mailing addressPo Box 413035, Salt Lake City, UT 84141-0001

Other providers in Salt Lake City