OrganizationActive
University of Utah Surgical Intensive Care Unit
NPI 1093864753 · Surgical Critical Care Physician · Salt Lake City, UT
Provider details
- NPI number
- 1093864753
- Entity type
- Organization
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janell Madonna, Director of Contracting and Pe(801) 587-6464
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (801) 581-2121
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 413035
Salt Lake City, UT 84141-0001
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2009-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.