# UNIVERSITY OF UTAH ADULT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF UTAH ADULT SERVICES
- **Other names:** Elko, EP Cardiology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629455282
- **Legal business name:** UNIVERSITY OF UTAH ADULT SERVICES
- **Authorized official:** EDWARD CLARK MD (DIVISION CHIEF)
- **Authorized official phone:** (801) 587-6336

## Contact information

- **Practice address:** 976 MOUNTIAN CITY HWY, A PLUS TOTAL CARE, ELKO, NV 89801-2728
- **Practice address phone:** (775) 738-5151
- **Mailing address:** PO BOX 841450, LOS ANGELES, CA 90084-1450
- **Mailing address phone:** (801) 213-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2015
- **Last updated:** 05/19/2020