OrganizationActive
Pediatric Neonatology Department of University of Utah
NPI 1689771669 · Neonatal-Perinatal Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1689771669
- Entity type
- Organization
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Clark, Pe Specialists(801) 587-7400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Practice location
100 N Medical Dr
U of U Som Dept of Pediatrics
Salt Lake City, UT 84113-1103
Phone: (801) 588-2000
Fax: (801) 587-7417
Approximate (ZIP-level) locationGet directions
Mailing address
295 Chipeta Way
Salt Lake City, UT 84108-1220
Registry dates
- Enumerated
- 2006-09-20
- 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.