MEDICARE: DR. HOWARD WEEKS M.D.

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	370147-1205	UT
2	2084P0804X	Child & Adolescent Psychiatry Physician	370147-1205	UT
3	2084P0800X	Psychiatry Physician	370147-1205	UT

General Provider Information

NPI Number	:	1760570915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD WEEKS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 413076
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84141-3076
Country	:	US
Telephone Number	:	801-213-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 CHIPETA WAY
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1222
Country	:	US
Telephone Number	:	801-587-3423
Fax Number	:

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	02/10/2026

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