University of Utah Pediatric Cardiology Electrophysiology Svcs
University of Utah Pediatric Cardiology Electrophysiology Svcs is an Electrodiagnostic Medicine Physician in Salt Lake City, Utah. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 3
Practice location Address checks out
100 Mario Capecchi DrSalt Lake City, UT 84113-1103
Phone: (801) 662-5400
Fax: (801) 662-5404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Electrodiagnostic Medicine Physician (primary) | Taxonomy 204R00000X |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X |
| Pediatric Cardiology Physician | Taxonomy 2080P0202X |
Record details
| NPI number | 1770841785 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Clark — Chair · (801) 587-7400 |
| NPI enumerated | April 26, 2012 |
| Last updated in NPPES | May 22, 2012 |
| Mailing address | 295 Chipeta Way, Salt Lake City, UT 84108-1287 |
Other providers in Salt Lake City
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University of Utah Pediatric Services
100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 · (801) 587-6336