NPI | 1689771669 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD B CLARK Pe Specialists 801-587-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2006-09-20 |
Last Update Date | 2011-09-06 |