# UNIVERSITY OF UTAH ADULT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF UTAH ADULT SERVICES
- **Other names:** U of U Medical Genetics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508222167
- **Legal business name:** UNIVERSITY OF UTAH ADULT SERVICES
- **Authorized official:** EDWARD CLARK (DEPT CHAIR)
- **Authorized official phone:** (801) 587-6336

## Contact information

- **Practice address:** 50 N MEDICAL DR, CLINIC 1, SALT LAKE CITY, UT 84132-0100
- **Practice address phone:** (801) 581-2628
- **Mailing address:** PO BOX 841450, LOS ANGELES, CA 90084-1450
- **Mailing address phone:** (801) 213-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | NULL | Yes |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2016
- **Last updated:** 05/20/2020