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

University of Utah Division of Pediatric Neurosurgery

Organization Neurological Surgery Physician · NPI 1417068271

University of Utah Division of Pediatric Neurosurgery provides Neurological Surgery 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 Ste 2400
Salt Lake City, UT 84113-1103 Not confirmed with CMS for 15 years — call before visiting
Phone: (801) 588-3400
Fax: (801) 588-3409
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Pediatric Surgery Physician Taxonomy 2086S0120X

Record details

NPI number1417068271
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Couldwell — Dept Chair · (801) 581-6909
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 6, 2011
Mailing address50 N Medical Dr, 3b409-Som, Salt Lake City, UT 84132-0001

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