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

University of Utah Pediatric Plastic Surgery

Organization Plastic Surgery Physician · NPI 1003825928

University of Utah Pediatric Plastic Surgery provides Plastic 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

50 N Medical Dr
Salt Lake City, UT 84132-0001 Not confirmed with CMS for 17 years — call before visiting
Phone: (801) 581-2121
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1003825928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janell Madonna — Director Of Contracting And Pe · (801) 587-6464
NPI enumeratedAugust 7, 2006
Last updated in NPPESApril 14, 2009
Mailing addressPo Box 58049, Salt Lake City, UT 84158-0049

Other providers in Salt Lake City