OrganizationActive
University of Utah Pediatric Services
NPI 1669918769 · Neurology with Special Qualifications in Child Neurology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1669918769
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- University of Utah Pediatric Services
- Authorized official
- Edward Clark, Department Chair
Mailing address
Po Box 841450
Los Angeles, CA 90084-1450
Registry dates
- Enumerated
- 2017-01-12
- Last updated
- 2020-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.