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

Pediatric Cardiology Department of University of Utah

Organization Pediatrics Physician · NPI 1114096195

Pediatric Cardiology 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 Mario Capecchi Dr
Salt Lake City, UT 84113-1103 Not confirmed with CMS for 17 years — call before visiting
Phone: (801) 662-5400
Fax: (801) 662-5404
Show map & directions

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

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1114096195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Clark — Dept Chair · (801) 587-7400
NPI enumeratedNovember 6, 2006
Last updated in NPPESSeptember 15, 2009
Mailing address295 Chipeta Way, U Of U Som Dept Of Pediatrics, Salt Lake City, UT 84108-1220

Other providers in Salt Lake City