| Neurological Associates Llc | |
|
212 S 1100 E American Fork UT 84003-2829 | |
| (801) 763-0901 | |
| (801) 763-0903 |
| Full Name | Neurological Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 212 S 1100 E, American Fork, Utah |
| Authorized Official Name and Position | Cara Louise Earle (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8017630901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurological Associates Llc 212 S 1100 E American Fork UT 84003-2829 Ph: (801) 763-0901 | Neurological Associates Llc 212 S 1100 E American Fork UT 84003-2829 Ph: (801) 763-0901 |
| NPI Number | 1912963372 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Medicare PECOS PAC ID | 1153306360 |
|---|---|
| Medicare Enrollment ID | O20040825000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912963372 | NPI | - | NPPES |
| 119463100 | Medicaid | WY |
| Provider Name | Christopher J Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700843695 PECOS PAC ID: 1850376070 Enrollment ID: I20040825000492 |
| Provider Name | Glade C Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356307540 PECOS PAC ID: 3678547502 Enrollment ID: I20040825000621 |
| Provider Name | Mohammad E Taher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992762918 PECOS PAC ID: 6002894011 Enrollment ID: I20040827000514 |
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