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Organization

UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES

Active
Parent organization
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Authorized official
JON KAR ZUBIETA MD (DEPARTMENT CHAIR)
(801) 587-6336
Entity
Organization

Contact information

Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-6336
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-3021
(801) 213-3900

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary

Other

Enumeration date
05/25/2016
Last updated
05/25/2016
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