Pediatric Adolescent Medicine Department Of Univeristy Of Utah
Pediatric Adolescent Medicine
Pediatric Adolescent Medicine Department Of Univeristy Of Utah is a Salt Lake City, Utah based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
50 N Medical Dr, Salt Lake City, Utah - 84132-0001. They can be contacted on phone at
801-581-3501 and fax number 801-581-4920.
NPI number (Unique professional ID) for Pediatric Adolescent Medicine Department Of Univeristy Of Utah is
1639123896 which was assigned by NPPES on 20 May, 2006 and it was last updated on 06 Sep, 2011.
Pediatric Adolescent Medicine Department Of Univeristy Of Utah specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Pediatric Adolescent Medicine Department Of Univeristy Of Utah basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pediatric Adolescent Medicine Department Of Univeristy Of Utah |
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Business Address:
Pediatric Adolescent Medicine Department Of Univeristy Of Utah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 50 N Medical Dr
Salt Lake City, UT, 84132-0001
United States |
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| Phone Number : | 801-581-3501 |
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| Fax Number : | 801-581-4920 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639123896 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 20 May, 2006 |
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| Last Updated On : | 06 Sep, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Edwardb Clark |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | CHAIR |
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| Phone Number : | 801-587-7400 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Adolescent Medicine Department Of Univeristy Of Utah are as mentioned. Primary taxonomy code for Pediatric Adolescent Medicine Department Of Univeristy Of Utah is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | | |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Adolescent Medicine Department Of Univeristy Of Utah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| =========001 | MEDICAID | UT | |
| 121820400 | MEDICAID | WY | |
| 100507432 | MEDICAID | NV | |
| 807297100 | MEDICAID | ID | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 295 Chipeta Way, Peds Admin
Salt Lake City, UT, 84108-1220
United States |
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| Phone Number : | 801-587-7400 |
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| Fax Number : | 801-587-7417 |
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Business Location:
Patients can refer following map for directions to
Pediatric Adolescent Medicine Department Of Univeristy Of Utah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.