Pediatric Adolescent Medicine Department Of Univeristy Of Utah in Salt Lake City - Adolescent Medicine
Pediatric Adolescent Medicine Department Of Univeristy Of Utah - NPI 1639123896
Pediatric Adolescent Medicine Department Of Univeristy Of Utah is a Adolescent Medicine in Salt Lake City, Utah. Pediatric Adolescent Medicine Department Of Univeristy Of Utah practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pediatric Adolescent Medicine Department Of Univeristy Of Utah is 1639123896. The last update date is 2011-09-06.
Pediatric Adolescent Medicine Department Of Univeristy Of Utah's current location address is 295 Chipeta Way, Salt Lake City, Utah. You can contact this provider via phone number 8015877400 and fax number 8015877417. The mailing address for Pediatric Adolescent Medicine Department Of Univeristy Of Utah is 295 Chipeta Way, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Adolescent Medicine Department Of Univeristy Of Utah |
|---|---|
| Address | 295 Chipeta Way, Salt Lake City, Utah |
| Phone Number | 8015877400 |
| Fax Number | 8015877417 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIR |
|---|---|
| Authorized Official Name | Clark B Edward |
| Credentials | MD |
| Telephone Number | 8015877400 |
NPI Number Detail
| NPI Number | 1639123896 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2011-09-06 |
Provider Mailing Address Detail
| Address | 295 Chipeta Way |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841081220 |
| Phone Number | 8015877400 |
| Fax Number | 8015877417 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121820400 | WY | -- | |
| 807297100 | ID | -- | |
| 100507432 | NV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pediatric Adolescent Medicine Department Of Univeristy Of Utah by the Centers for Medicare & Medicaid Services?
The Pediatric Adolescent Medicine Department Of Univeristy Of Utah has been assigned the NPI (National Provider Identifier) 1639123896. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pediatric Adolescent Medicine Department Of Univeristy Of Utah?
The Pediatric Adolescent Medicine Department Of Univeristy Of Utah is situated at 295 Chipeta Way, in the city of Salt Lake City, state of UT, with the zip code 841081220.
What is the Pediatric Adolescent Medicine Department Of Univeristy Of Utah's specialty and taxonomy code?
The Pediatric Adolescent Medicine Department Of Univeristy Of Utah's specialty is Adolescent Medicine, and the corresponding taxonomy code is 2080A0000X.
When did Pediatric Adolescent Medicine Department Of Univeristy Of Utah receive its 1639123896 assignment?
The Pediatric Adolescent Medicine Department Of Univeristy Of Utah was assigned its 1639123896 on 2006-05-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Pediatric Adolescent Medicine Department Of Univeristy Of Utah, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pediatric Adolescent Medicine Department Of Univeristy Of Utah, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-09-06.