Pediatrics, Hospice and Palliative Medicine
INTERMOUNTAIN PEDIATRIC CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1740499433 · enumerated 2007-05-21 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. SUSAN HARRIS, Office Manager · (801) 355-4316
Addresses and phones
- Mailing address 508 E SOUTH TEMPLE, SUITE 310, SALT LAKE CITY, UT, 84102-1013 (801) 355-4316 Fax (801) 355-6267 Google Maps Apple Maps OpenStreetMap
- Practice location 508 E SOUTH TEMPLE, SUITE 310, SALT LAKE CITY, UT, 84102-1013 (801) 355-4316 Fax (801) 355-6267 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Hospice and Palliative Medicine 2080H0002X · Primary · License 19920633 UT
In this directory
UT Salt Lake County Salt Lake City Pediatrics, Hospice and Palliative Medicine
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841021013
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.