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

Pediatric Emergency Medicine Department of University of Utah

Organization Pediatrics Physician · NPI 1275570665

Pediatric Emergency Medicine 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 15 years — call before visiting
Phone: (801) 588-2233
Fax: (801) 588-2236
Show map & directions

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

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1275570665
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Clark — Chair · (801) 587-7400
NPI enumeratedJune 2, 2006
Last updated in NPPESSeptember 6, 2011
Mailing address295 Chipeta Way, U Of U Som Dept Of Pediatrics, Salt Lake City, UT 84108-1220

Other providers in Salt Lake City