# UNIVERSITY OF UTAH PEDIATRIC ADOLESCENT PROFESSIONAL SERVICES

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

## Provider details

- **NPI number:** 1407155591
- **Authorized official:** HOWARD R WEEKS MD (DEPARTMENT CHAIR)
- **Authorized official phone:** (801) 585-1575

## Contact information

- **Practice address:** 501 CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
- **Practice address phone:** (801) 585-1575
- **Mailing address:** PO BOX 413076, SALT LAKE CITY, UT 84141-3076
- **Mailing address phone:** (801) 587-6688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2011
- **Last updated:** 03/21/2011