| NPI | 1275570665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B CLARK Chair 801-587-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-09-06 |