University Of Utah Neuromuscular | |
175 N Medical Drive Salt Lake City UT 84132-5901 | |
(801) 585-7575 | |
Not Available |
Full Name | University Of Utah Neuromuscular |
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Speciality | Psychiatry & Neurology - Neuromuscular Medicine |
Location | 175 N Medical Drive, Salt Lake City, Utah |
Authorized Official Name and Position | Stefan M Pulst (DEPARTMENT CHAIR) |
Authorized Official Contact | 8015856387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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University Of Utah Neuromuscular Po Box 413027 Salt Lake City UT 84141-3027 Ph: (801) 213-3900 | University Of Utah Neuromuscular 175 N Medical Drive Salt Lake City UT 84132-5901 Ph: (801) 585-7575 |
NPI Number | 1336496074 |
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Provider Enumeration Date | 08/13/2012 |
Last Update Date | 11/14/2012 |
Identifier | Type | State | Issuer |
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1336496074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Primary |
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