OrganizationActive
Pediatric Hematology Oncology-Department of University of Utah
NPI 1295780625 · Pediatric Hematology & Oncology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1295780625
- Entity type
- Organization
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Clark, Chair(801) 587-7400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Practice location
100 N Medical Dr
Salt Lake City, UT 84113-1103
Phone: (801) 588-2680
Fax: (801) 588-2662
Approximate (ZIP-level) locationGet directions
Mailing address
295 Chipeta Way
Salt Lake City, UT 84108-1220
Registry dates
- Enumerated
- 2006-05-24
- 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.