Provider Demographics
NPI:1073277067
Name:UNIVERSITY OF UTAH HOSPITALS AND CLINICS
Entity Type:Organization
Organization Name:UNIVERSITY OF UTAH HOSPITALS AND CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGERY
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:CROMBIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-213-4500
Mailing Address - Street 1:5126 W DAYBREAK PKWY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-5994
Mailing Address - Country:US
Mailing Address - Phone:801-213-4500
Mailing Address - Fax:
Practice Address - Street 1:5126 W DAYBREAK PKWY
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84009-5994
Practice Address - Country:US
Practice Address - Phone:801-213-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center