| Organization Name: | UNIVERSITY OF UTAH SPECIALTY SERVICES |
| NPI Number: | 1043614811 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SEAN MULVIHILL (CHIEF MEDICAL OFFICER) |
| Mailing Address: | 50 N Medical Dr Salt Lake City |
| State: | UT US |
| Postal Code: | 841320001 |
| Phone Number: | 8015812121 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2014 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |