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

Pediatric Gastroenterology Department of University of Utah

Organization Pediatrics Physician · NPI 1609820232

Pediatric Gastroenterology 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) 588-3370
Fax: (801) 588-2375
Show map & directions

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

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1609820232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Clark — Chair · (801) 587-7400
NPI enumeratedMay 19, 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