OrganizationActive
Pediatric Orthopedic Associates
NPI 1659488799 · Pediatric Radiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1659488799
- Entity type
- Organization
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alan Stotts, Department Chair(801) 588-3900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Body Imaging Physician2085B0100X
Allopathic & Osteopathic Physicians
- Neuroradiology Physician2085N0700X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Practice location
100 Mario Capecchi Dr
Salt Lake City, UT 84112-8924
Phone: (801) 588-3900
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 58886
Salt Lake City, UT 84158-0886
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2008-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.