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UNIVERSITY OF UTAH PEDIATRIC SERVICES
Transplant Surgery

NPI Profile for UNIVERSITY OF UTAH PEDIATRIC SERVICES in SALT LAKE CITY, UT.

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Contact Information

UNIVERSITY OF UTAH PEDIATRIC SERVICES
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT  84113-1125
 Phone: 801-587-6336
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Transplant Surgery

 204F00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF UTAH PEDIATRIC SERVICES · (Female)

NPI Number 1104370691
Status Active
Credentials
Entity Individual
Enumeration date 08/12/2016
Last updated 01/22/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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