| Neurostimulation Pediatric Services | |
|
501 S Chipeta Way Salt Lake City UT 84108-1222 | |
| (801) 587-6336 | |
| Not Available |
| Full Name | Neurostimulation Pediatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Neuromuscular Medicine |
| Location | 501 S Chipeta Way, Salt Lake City, Utah |
| Authorized Official Name and Position | Samuel Finlayson (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 8015876336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurostimulation Pediatric Services Po Box 841450 Los Angeles CA 90084-1450 Ph: (801) 213-3900 | Neurostimulation Pediatric Services 501 S Chipeta Way Salt Lake City UT 84108-1222 Ph: (801) 587-6336 |
| NPI Number | 1558723445 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558723445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Primary |
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