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University of Utah Pediatric Services — NPI 1235675364, Idaho Falls, ID | NPI Central

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NPI 1235675364

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University of Utah Pediatric Services

NPI 1235675364 · Pediatric Urology Physician · Idaho Falls, ID

Provider details

NPI number: 1235675364
Entity type: Organization
Primary specialty: Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
Parent organization: University of Utah Pediatric Services
Organization subpart: Yes
Authorized official: Samuel Finlayson, Chief Clinical Officer(801) 587-6336

Specialties & taxonomies

Pediatric Urology PhysicianPrimary2088P0231X
Allopathic & Osteopathic Physicians

Practice location

2985 Cortez Ave

Idaho Falls, ID 83404-7554

Phone: (801) 662-5555

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

Po Box 841450

Los Angeles, CA 90084-1450

Other names (DBA / former)

Doing business as: Pediatric Urology Associates - Idaho
Doing business as: Pediatric Urology Associates - Idaho

Registry dates

Enumerated: 2017-01-12
Last updated: 2022-04-13
Certified: 2022-04-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.