Organization
IMMUNOLOGY DIVISION DEPARTMENT OF UNIVERSITY OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL I MADONNA (DIRECTOR OF CONTRACTING AND PE)
(801) 587-6464
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-0001
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Enumeration date
12/15/2006
Last updated
04/14/2009
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