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

Pediatric Genetics Department of University of Utah

Organization Clinical Genetics (M.D.) Physician · NPI 1629022827

Pediatric Genetics Department of University of Utah provides Clinical Genetics (M.D.) 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

50 N Medical Dr
Salt Lake City, UT 84132-0001 Not confirmed with CMS for 15 years — call before visiting
Phone: (801) 581-8943
Fax: (801) 585-7252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1629022827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Clark — Chair · (801) 587-7400
NPI enumeratedMay 20, 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