| NPI | 1639123896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B CLARK Chair 801-587-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-09-06 |