OrganizationActive
Pediatric Emergency Sedation Service
NPI 1245524651 · Pediatric Emergency Medicine (Pediatrics) Physician · Salt Lake City, UT
Provider details
- NPI number
- 1245524651
- Entity type
- Organization
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janell Madonna, Contracting Director(801) 587-6464
- License
- 3176341205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-1234
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 413021
Salt Lake City, UT 84141-3021
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2011-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.