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

University of Utah Pediatric Surgeons

Organization Surgery Physician · NPI 1083623904

University of Utah Pediatric Surgeons is a Surgery Physician in Salt Lake City, Utah. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

100 Mario Capecchi Dr Ste 2600
Salt Lake City, UT 84113-1103
Phone: (801) 662-2950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1083623904
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 address100 Mario Capecchi Dr, Suite 2600, Salt Lake City, UT 84113-1103

Other providers in Salt Lake City