Organization
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Active
Parent organization
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Other names
Pediatric Cardiothoracic Surgeons
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
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 587-6336
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-1450
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
04/05/2016
Last updated
01/22/2021
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