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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sports Medicine |
2084S0010X | 86 | Physician/Neuropsychiatry |
| NPI Number | 1467320671 |
| LBN Legal business name | UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES |
| Authorized official | JEANNINE RUSHTON - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/28/2025 |
| Last updated | 10/28/2025 - About 7 months ago |
| Identifiers | n/a |
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UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES