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Organization

UNIVERSITY OF UTAH ADULT SERVICES

Active
Parent organization
UNIVERSITY OF UTAH ADULT SERVICES
Other names
Desert Valley Nephrology
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF UTAH ADULT SERVICES
Authorized official
EDWARD CLARK (CHIEF MEDICAL OFFICER)
(801) 587-6336
Entity
Organization

Contact information

Practice address
350 FALCON RIDGE PKWY STE 700, MESQUITE, NV 89027-8880
(801) 581-2121
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-1450
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
05/04/2015
Last updated
05/25/2022
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