Pediatrics, Adolescent Medicine
PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH
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 Plan acceptance stays unpublished until the practice reports it.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 1639123896 · enumerated 2006-05-20 · record updated 2011-09-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. EDWARD CLARK MD, Chair · (801) 587-7400
Addresses and phones
- Mailing address 295 CHIPETA WAY, PEDS ADMIN, SALT LAKE CITY, UT, 84108-1220 (801) 587-7400 Fax (801) 587-7417 Google Maps Apple Maps OpenStreetMap
- Practice location 50 N MEDICAL DR, SALT LAKE CITY, UT, 84132-0001 (801) 581-3501 Fax (801) 581-4920 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics 208000000X
- Pediatrics, Adolescent Medicine 2080A0000X · Primary
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841320001
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.