# BMT DIVISION DEPARTMENT OF UNIVERSITY OF UTAH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023251568
- **Authorized official:** JANELL I MADONNA (DIRECTOR OF CONTRACTING AND PE)
- **Authorized official phone:** (801) 587-6464

## Contact information

- **Practice address:** 1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
- **Practice address phone:** (801) 581-2121
- **Mailing address:** PO BOX 413033, SALT LAKE CITY, UT 84141-0001
- **Mailing address phone:** (801) 581-2121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2009
- **Last updated:** 04/14/2009