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Organization

PEDIATRIC BONE MARROW TRANSPLANT DEPARTMENT OF UNIVERSITY OF UTAH

Active
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Organization

PEDIATRIC BONE MARROW TRANSPLANT DEPARTMENT OF UNIVERSITY OF UTAH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD B CLARK MD (CHAIR)
(801) 587-7400
Entity
Organization

Contact information

Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4700
(801) 662-4705
Mailing address
295 CHIPETA WAY, SALT LAKE CITY, UT 84108-1220
(801) 587-7400
(801) 587-7417

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—

Other

Enumeration date
08/13/2006
Last updated
09/15/2008
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