Organization
PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH
Active
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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