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

Pediatric Bone Marrow Transplant Department of University of Utah

Organization Pediatrics Physician · NPI 1568474773

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

In the registry since
2006
Specialties on file
2

Practice location Address checks out

100 N Medical Dr
Salt Lake City, UT 84113-1103 Not confirmed with CMS for 18 years — call before visiting
Phone: (801) 662-4700
Fax: (801) 662-4705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1568474773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Clark — Chair · (801) 587-7400
NPI enumeratedAugust 13, 2006
Last updated in NPPESSeptember 15, 2008
Mailing address295 Chipeta Way, Salt Lake City, UT 84108-1220

Other providers in Salt Lake City