# UNIVERSITY OF UTAH PEDIATRIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF UTAH PEDIATRIC SERVICES
- **Other names:** Pediatric EP Cardiology - Pocatello
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760928865
- **Legal business name:** UNIVERSITY OF UTAH PEDIATRIC SERVICES
- **Authorized official:** DR. SAMUEL FINLAYSON MD (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (801) 587-6336

## Contact information

- **Practice address:** 110 VISTA DR, POCATELLO, ID 83201-5824
- **Practice address phone:** (208) 233-1697
- **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:** 01/12/2017
- **Last updated:** 01/22/2021