University of Utah Pediatric Services
University of Utah Pediatric Services provides Pediatric Urology Physician services in Idaho Falls, Idaho. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
2985 Cortez AveIdaho Falls, ID 83404-7554
Phone: (801) 662-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Urology Physician (primary) | Taxonomy 2088P0231X |
|---|
Record details
| NPI number | 1235675364 |
|---|---|
| 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 | Pediatric Urology Associates - Idaho; Pediatric Urology Associates - Idaho |
| NPI enumerated | January 12, 2017 |
| Last updated in NPPES | April 13, 2022 |
| Certification date | April 13, 2022 |
| Mailing address | Po Box 841450, Los Angeles, CA 90084-1450 |