| Ayuen & Nutakor Services | |
|
825 N 300 W Ste W307 Salt Lake City UT 84103-1490 | |
| (801) 662-8956 | |
| Not Available |
| Full Name | Ayuen & Nutakor Services |
|---|---|
| Speciality | Psychiatry & Neurology - Neurodevelopmental Disabilities |
| Location | 825 N 300 W Ste W307, Salt Lake City, Utah |
| Authorized Official Name and Position | Ayuen Nutakor (CEO) |
| Authorized Official Contact | 8016628956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayuen & Nutakor Services Po Box 57001 Murray UT 84157-0001 Ph: (801) 662-8956 | Ayuen & Nutakor Services 825 N 300 W Ste W307 Salt Lake City UT 84103-1490 Ph: (801) 662-8956 |
| NPI Number | 1093374175 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093374175 | NPI | - | NPPES |
| 213524127 | Other | UT | DRIVER'S LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0005X | Psychiatry & Neurology - Neurodevelopmental Disabilities | (* (Not Available)) | Primary |
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