Organization
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Active
Parent organization
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Other names
Missoula Bone & Joint Surgical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Authorized official
DR. SAMUEL FINLAYSON MD (CHIEF CLINICAL OFFICER)
(801) 587-6336
Entity
Organization
Contact information
Practice address
2360 MULLAN RD, SUTIE C, MISSOULA, MT 59808-1811
(406) 542-9695
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-1450
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/13/2017
Last updated
01/22/2021
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