Organization
UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T COULDWELL MD (DEPT CHAIR)
(801) 581-6909
Entity
Organization
Contact information
Practice address
100 N MEDICAL DR, SUITE 2400, SALT LAKE CITY, UT 84113-1103
(801) 588-3400
(801) 588-3409
Mailing address
50 N MEDICAL DR, 3B409-SOM, SALT LAKE CITY, UT 84132-0001
(801) 581-6909
(801) 581-4385
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003073800
—
ID
05
—
100389310A
—
IN
05
—
100501144
—
NV
05
—
116059100
—
WY
05
—
200019110A
—
OK
05
—
29584205
—
CO
05
—
7123755
—
WA
05
—
837253
—
NM
05
—
X9X042036
—
TX
Enumeration date
08/31/2006
Last updated
09/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us