| NPI | 1114096195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B CLARK Dept Chair 801-587-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-09-15 |