IndividualActive
Albert Park, MD
NPI 1972693596 · Pediatric Otolaryngology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1972693596
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 5160957-1205 (UT)
Practice location
100 N Medical Dr
Suite 4500
Salt Lake City, UT 84113-1103
Phone: (801) 588-2700
Mailing address
Po Box 581094
Salt Lake City, UT 84158-1094
Registry dates
- Enumerated
- 2006-10-13
- Last updated
- 2021-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.