Organization
UNIVERSITY OF UTAH ADULT SERVICES
Active
Parent organization
UNIVERSITY OF UTAH ADULT SERVICES
Other names
U of U Medical Genetics
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF UTAH ADULT SERVICES
Authorized official
EDWARD CLARK (DEPT CHAIR)
(801) 587-6336
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, CLINIC 1, SALT LAKE CITY, UT 84132-0100
(801) 581-2628
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-1450
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
05/20/2020
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