| NPI | 1770841785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B CLARK Chair 801-587-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-05-22 |