| NPI | 1114027968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B CLARK Dept Chair 801-587-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-09-06 |