WASATCH NEUROLOGICAL SURGERY PC NPI 1346410073

NPI Information

WASATCH NEUROLOGICAL SURGERY PC is a specialist in Bountiful, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WASATCH NEUROLOGICAL SURGERY PC NPI is 1346410073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3401 S HIGHWAY 89
BOUNTIFUL, UT
ZIP 84010-517
Phone: (801) 295-2438
Fax: (866) 630-0782

The provider's authorized official is Brent Lee Clyde .
The authorized official title is Owner and has the following contact phone number (801) 295-2438.

The enumeration date for this NPI number is 3/10/2008 and was last updated on 5/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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