| NPI | 1619325131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CLARK Department Chair 801-587-6336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |