Pediatric Neurology Department Of University Of Utah
Neurology
100 N Medical Dr, Pediatric Neurology, Salt Lake City
Utah, 84113-1103
801-588-3300 801-588-3392
Maps & DirectionsPediatric Neurology Department Of University Of Utah is a Neurology Clinic in Salt Lake City, Utah. It is located at 100 N Medical Dr, Pediatric Neurology, Salt Lake City, UT and its contact number is 801-588-3300. The authorized person for Pediatric Neurology Department Of University Of Utah is Dr. Edward B Clark
who is Dept Chair of the clinic and his/her contact number is 801-587-7400.
Pediatric Neurology Department Of University Of Utah Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Complete Clinic Profile:
Pediatric Neurology Department Of University Of Utah Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pediatric Neurology Department Of University Of Utah |
| Specialization: | Neurology |
| Clinic Address: | 100 N Medical Dr, Pediatric Neurology, Salt Lake City,
Utah, 84113-1103 |
| Phone: | 801-588-3300 |
| Fax: | 801-588-3392 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Edward B Clark |
| Position: | Dept Chair |
| Contact Number: | 801-587-7400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pediatric Neurology Department Of University Of Utah clinic are as mentioned below.
| NPI Number: | 1831290709 |
| NPI Enumeration Date: | 25 Sep, 2006 |
| NPI Last Update On: | 06 Sep, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Neurology Department Of University Of Utah are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | | | Primary | |
| Pediatrics | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 807147700 | Medicaid | Idaho | |
| 59421312 | Medicaid | Colorado | |
| 100507115 | Medicaid | Nevada | |
| 121439000 | Medicaid | Wyoming | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pediatric Neurology Department Of University Of Utah
295 Chipeta Way, U Of U Som Dept Of Pediatrics
Salt Lake City, Utah |
| Zip: | 84108-1220 |
| Phone Number: | 801-587-7400 |
| Fax Number: | 801-587-7417 |
Patients can reach Pediatric Neurology Department Of University Of Utah at
100 N Medical Dr, Pediatric Neurology, Salt Lake City, Utah or can
call to book an appointment on 801-588-3300.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.