University of Utah Pediatric Services
University of Utah Pediatric Services provides Pediatric Cardiology Physician services in Pocatello, Idaho. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
777 Hospital WayPocatello, ID 83201-5175
Phone: (801) 587-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Cardiology Physician (primary) | Taxonomy 2080P0202X |
|---|
Record details
| NPI number | 1154783017 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | University of Utah Pediatric Services |
| Authorized official | Samuel Finlayson — Chief Clinical Officer · (801) 587-6336 |
| Other names | Portneuf Medical Center - Pediatric Cardiology; Portneuf Medical Center - Pediatric Cardiology |
| NPI enumerated | March 22, 2016 |
| Last updated in NPPES | January 22, 2021 |
| Certification date | January 22, 2021 |
| Mailing address | Po Box 841450, Los Angeles, CA 90084-1450 |