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Organization
UNIVERSITY OF UTAH ORTHOPEDIC CONSULTANTS
Active
Organization
UNIVERSITY OF UTAH ORTHOPEDIC CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L SALTZMAN MD (DEPARTMENT CHAIR)
(801) 581-3998
Entity
Organization
Contact information
Practice address
590 WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 581-3998
Mailing address
PO BOX 58108, SALT LAKE CITY, UT 84158-0108
(801) 581-3998
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003062200
IDAHO MEDICAID
ID
01
—
100502780
NEVADA MEDICAID
NV
01
—
108139000
WYOMING MEDICAID
WY
Enumeration date
06/23/2006
Last updated
09/06/2011
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