Organization
PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD B. CLARK (DEPARTMENT CHAIR)
(801) 587-7415
Entity
Organization
Contact information
Practice address
DEPARTMENT OF PEDIATRICS, 50 NORTH MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-8943
(801) 585-7252
Mailing address
DEPARTMENT OF PEDIATRICS, 50 NORTH MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-8943
(801) 585-7252
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
9858866-3602
UT
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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