University Cardiothoracic-Pediatric
Surgery in Salt Lake City, UT. Organization (NPI-2).
NPI number1790794014
StatusActive
Last updated in NPPESApr 14, 2009
Details
- NPI
- 1790794014
- Entity type
- Organization (NPI-2)
- Legal business name
- University Cardiothoracic-Pediatric
- Organization subpart
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- Apr 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 2086S0120X | Surgery, Pediatric Surgery | – | – | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – |
Practice location
100 Mario Capecchi DrSalt Lake City, UT 84113-1103
Phone 801-588-2000
Mailing address
Po Box 58049Salt Lake City, UT 84158-0049
Phone 801-588-3345
Authorized official
Janell I Madonna
Director Of Contracting And Pe
8015876464
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