Organization
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Active
Parent organization
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Other names
UDAC Ped's Behavioral Health
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
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 587-2255
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-1450
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Enumeration date
04/11/2017
Last updated
04/13/2022
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