Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAD OUTSEN, M.D.
Active Sole ProprietorDR. SHAD OUTSEN, M.D. is a Pediatric Critical Care Medicine healthcare provider located in PROVO, Utah. NPI 1487815536 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Medicine · PROVO, UT
Registration Details
- NPI Number
- 1487815536
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2008 (18.181243534787 yrs)
- Last Updated
- Apr 25, 2022
- License
-
7365706-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1034 N 500 WPROVO, UT, 846043380Browse UT providers · Browse ZIP 84604
- Phone
- 8013577481
- Primary Specialty
-
Pediatric Critical Care Medicine
2080P0203X
Other Pediatric Critical Care Medicine Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JON S WOODS | MD | 1982675088 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.