Neurology Consultants Llc | |
8706 S 700 E Suite 200 Sandy UT 84070-1807 | |
(801) 446-8156 | |
(810) 446-8393 |
Full Name | Neurology Consultants Llc |
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Speciality | Psychiatry & Neurology |
Location | 8706 S 700 E, Sandy, Utah |
Authorized Official Name and Position | Andrew P Gasecki (PRESIDENT) |
Authorized Official Contact | 8014468156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurology Consultants Llc 2204 High Ridge Ln Sandy UT 84092-4859 Ph: (801) 446-8156 | Neurology Consultants Llc 8706 S 700 E Suite 200 Sandy UT 84070-1807 Ph: (801) 446-8156 |
NPI Number | 1417157660 |
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Provider Enumeration Date | 07/24/2007 |
Last Update Date | 01/11/2016 |
Medicare PECOS PAC ID | 0547156036 |
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Medicare Enrollment ID | O20040223000756 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417157660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 3626031205 (Utah) | Primary |
Provider Name | Andrew P Gasecki |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1760576342 PECOS PAC ID: 3971499468 Enrollment ID: I20040223000778 |
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