| NPI | 1942476569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD B CLARK Chairperson 801-587-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080P0008X Pediatrics Neurodevelopmental Disabilities | |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2011-09-06 |