| Neuroguard Llc | |
|
1110 E 400 N Kaysville UT 84037-1754 | |
| (385) 245-3580 | |
| Not Available |
| Full Name | Neuroguard Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1110 E 400 N, Kaysville, Utah |
| Authorized Official Name and Position | Dallas K Ward (REGISTERED AGENT) |
| Authorized Official Contact | 3852453580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroguard Llc 1110 E 400 N Kaysville UT 84037-1754 Ph: (385) 245-3580 | Neuroguard Llc 1110 E 400 N Kaysville UT 84037-1754 Ph: (385) 245-3580 |
| NPI Number | 1740846450 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740846450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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