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UNIVERSITY OF UTAH PEDIATRIC NEUROLOGY
NPI 1508178476
Clinic/Center - Multi-Specialty in Riverton, UT

Active since July 08, 2010
3741 W 12600 S, RIVERTON, UT 84065(801) 285-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Of Utah Pediatric Neurology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY OF UTAH PEDIATRIC NEUROLOGY (NPI 1508178476) is a healthcare organization registered as a multi-specialty in Riverton, Utah and active in the NPI registry since July 2010. The organization lists Edward B Clark, Chairman, as its authorized official.

NPPES Registry Identity

NPI1508178476
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameUNIVERSITY OF UTAH PEDIATRIC NEUROLOGY
Location Address3741 W 12600 SRiverton, UT 84065-7215
Mailing Address100 Mario Capecchi DrSalt Lake City, UT 84113-1103 · (801) 662-5696 · Fax (801) 662-5699
Phone(801) 285-4000
Organization SubpartNo
Authorized OfficialEdward B ClarkChairman · (801) 587-7400
Enumeration DateJuly 8, 2010
✔ NPI 1508178476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in UT · 48547254405
3741 W 12600 S, Riverton, UT 84065
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY S GARVEY APRN
Nurse Practitioner (Family)
3741 W 12600 S, OUTPATIENT SERVICES
RIVERTON, UT 84065
Salt Lake County (801) 285-1285
CAMBRY KAYLOR
Occupational Therapist
3741 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 571-3081
DR. BRENNEN BOWEN PHARMD
Pharmacist
3741 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 285-2670
SAMANTHA BLAIR WALKER CRNA
Nurse Anesthetist, Certified Registered
3741 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 727-2056
SUZANNE H HARRISON MD
Anesthesiology
3741 W 12600 S, RIVERTON HOSPITAL
RIVERTON, UT 84065
Salt Lake County (801) 285-4000
RICHARD G MAXWELL MD
Anesthesiology
3741 W 12600 S, RIVERTON HOSPITAL
RIVERTON, UT 84065
Salt Lake County (801) 285-4000
FAE L ENGSTROM MD
Anesthesiology
3741 W 12600 S, RIVERTON HOSPITAL
RIVERTON, UT 84065
Salt Lake County (801) 285-4000
INTERMOUNTAIN HEALTHCARE
Clinic/Center (Physical Therapy)
3741 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 285-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Utah Pediatric Neurology's NPI number?

The NPI number for University Of Utah Pediatric Neurology is 1508178476. It was assigned to this organization in the NPPES registry on July 8, 2010.

Where is University Of Utah Pediatric Neurology located?

University Of Utah Pediatric Neurology is located at 3741 W 12600 S, Riverton, UT 84065. The listed phone number is (801) 285-4000.

What is University Of Utah Pediatric Neurology's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for University Of Utah Pediatric Neurology was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.