WESTERN STATES MEDICAL LLC is an electroneurodiagnostic specialist technologist other in Washington Terrace, UT. WESTERN STATES MEDICAL LLC NPI is 1124250592. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
448 E 5350 S STE B
WASHINGTON TERRACE, UT
ZIP 84405-415
Phone: (801) 540-4564
The provider's authorized official is Cary Fairbourn .
The authorized official title is President and has the following contact phone number (801) 540-4564.
The enumeration date for this NPI number is 8/18/2009 and was last updated on 8/18/2009.