MEDICARE: DANE A. HEGDAHL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	13509680-1205	UT

General Provider Information

NPI Number	:	1265181366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANE A. HEGDAHL MD

Provider Business Mailing Address
First Line	:	295 S CHIPETA WAY RM 2S010
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1287
Country	:	US
Telephone Number	:	801-581-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	295 S CHIPETA WAY RM 2S010
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1287
Country	:	US
Telephone Number	:	801-581-2121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	02/10/2026

Similar Medicare Providers

1053061283 — GWENDOLYN R. COOK MD
Practice Location Address:

295 S CHIPETA WAY RM 2S010
SALT LAKE CITY, UT
84108-1287

Practice Phone: 801-581-2121
Practice Fax:

1740132232 — ASHLEY GRACE LLOYD
Practice Location Address:

295 S CHIPETA WAY
SALT LAKE CITY, UT
84108-1287

Practice Phone: 801-581-8776
Practice Fax:

1134879778 — ALICIA C. HUGHES MD, MPH
Practice Location Address:

295 S CHIPETA WAY RM 2S010
SALT LAKE CITY, UT
84108-1287

Practice Phone: 801-581-2121
Practice Fax:

1720738685 — ANNIKA M. LENZ MD
Practice Location Address:

295 S CHIPETA WAY RM 2S010
SALT LAKE CITY, UT
84108-1287

Practice Phone: 801-581-2121
Practice Fax:

1346248465 — JUSTIN CHARLES ALVEY M.D.
Practice Location Address:

295 S CHIPETA WAY , UNIVERSITY OF UTAH DEPARTMENT OF PEDIATRICS
SALT LAKE CITY, UT
84108-1287

Practice Phone: 801-585-6943
Practice Fax: 801-581-3899

1588634729 — DR. WILLIAM BRADLEY POSS MD
Practice Location Address:

295 E CHIPETA WAY
SALT LAKE CITY, UT
84108-1287

Practice Phone: 801-587-7575
Practice Fax: 801-581-8686

Directions to “ DANE A. HEGDAHL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.