Organization
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Active
Parent organization
EASTERN IDAHO REGIONAL MEDICAL CENTER - PEDIATRIC CARDIOLOGY
Other names
Eastern Idaho Regional Medical Center - Pediatric Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN IDAHO REGIONAL MEDICAL CENTER - PEDIATRIC CARDIOLOGY
Authorized official
DR. SAMUEL FINLAYSON MD (CHIEF CLINICAL OFFICER)
(801) 587-6336
Entity
Organization
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(801) 587-6336
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-1450
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
01/22/2021
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