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1023051166
UNIVERSITY OF UTAH GENERAL PEDIATRICS
SALT LAKE CITY, UT
NPI
1023051166
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Entity Type
Organization
Authorized Contact
EDWARD B CLARK
Chair
801-587-7400
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-06-14
Last Update Date
2011-09-06
Business Address
UNIVERSITY OF UTAH GENERAL PEDIATRICS
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-588-2233
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Mailing Address
UNIVERSITY OF UTAH GENERAL PEDIATRICS
295 CHIPETA WAY PEDS ADMIN
SALT LAKE CITY, UT 84108-1220
Phone number: 801-587-7400
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