OrganizationActive
Pediatric Gastroenterology Department of University of Utah
NPI 1609820232 · Pediatric Gastroenterology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1609820232
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Edward Clark, Chair
Practice location
100 N Medical Dr
Salt Lake City, UT 84113-1103
Phone: (801) 588-3370
Fax: (801) 588-2375
Mailing address
295 Chipeta Way
Salt Lake City, UT 84108-1220
Registry dates
- Enumerated
- 2006-05-19
- 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.