Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Department of Pediatrics University of Utah

Organization Pediatrics Physician · NPI 1679528715

Department of Pediatrics University of Utah provides Pediatrics Physician services in Salt Lake City, Utah. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

100 N Medical Dr
Salt Lake City, UT 84113-1103 Not confirmed with CMS for 15 years — call before visiting
Phone: (801) 588-2000
Fax: (801) 587-7417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1679528715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Clark — Chair · (801) 587-7400
NPI enumeratedMay 24, 2006
Last updated in NPPESSeptember 6, 2011
Mailing address295 Chipeta Way, Peds Admin, Salt Lake City, UT 84108-1220

Other providers in Salt Lake City