Pediatric Emergency Medicine Department Of University Of Utah

Pediatric Emergency Medicine

Pediatric Emergency Medicine Department Of University Of Utah is a Salt Lake City, Utah based Pediatric center with medical specialization in Pediatric Emergency Medicine. It is located at 100 N Medical Dr, Salt Lake City, Utah - 84113-1103. They can be contacted on phone at 801-588-2233 and fax number 801-588-2236.
NPI number (Unique professional ID) for Pediatric Emergency Medicine Department Of University Of Utah is 1275570665 which was assigned by NPPES on 02 Jun, 2006 and it was last updated on 06 Sep, 2011.
Pediatric Emergency Medicine Department Of University Of Utah has special qualifications to manage emergencies in infants and children.
Complete Profile:
Pediatric Emergency Medicine Department Of University Of Utah basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Emergency Medicine
Provider Name :Pediatric Emergency Medicine Department Of University Of Utah
Business Address:
Pediatric Emergency Medicine Department Of University 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 :100 N Medical Dr
Salt Lake City, UT, 84113-1103
United States
Phone Number :801-588-2233
Fax Number :801-588-2236
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 : 1275570665
NPI Entity Type : Organization
First Enrolment Date : 02 Jun, 2006
Last Updated On : 06 Sep, 2011
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
Authorized Official Credential :MD
Official Title or Position :CHAIR
Phone Number :801-587-7400
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 Emergency Medicine Department Of University Of Utah are as mentioned. Primary taxonomy code for Pediatric Emergency Medicine Department Of University Of Utah is 2080P0204X (Pediatrics Pediatric Emergency Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNo
2080P0204XPediatrics Pediatric Emergency MedicineYes
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Emergency Medicine Department Of University Of Utah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
100507107MEDICAIDNV
121335100MEDICAIDWY
=========001MEDICAIDUT
807146900MEDICAIDID
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, U Of U Som Dept Of Pediatrics
Salt Lake City, UT, 84108-1220
United States
Phone Number :801-587-7400
Fax Number :801-587-7417
Business Location:
Patients can refer following map for directions to Pediatric Emergency Medicine Department Of University 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.