| Department Of Neurology School Of Medicine University Of Utah | |
|
50 N Medical Dr Salt Lake City UT 84132-0001 | |
| (801) 585-6387 | |
| Not Available |
| Full Name | Department Of Neurology School Of Medicine University Of Utah |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 50 N Medical Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Stefan Pulst (DEPARTMENT CHAIR) |
| Authorized Official Contact | 8015856387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Neurology School Of Medicine University Of Utah Po Box 413027 Salt Lake City UT 84141-3027 Ph: (801) 236-7748 | Department Of Neurology School Of Medicine University Of Utah 50 N Medical Dr Salt Lake City UT 84132-0001 Ph: (801) 585-6387 |
| NPI Number | 1326092511 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 10/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326092511 | NPI | - | NPPES |
| 122358500 | Medicaid | WY | |
| 807423300 | Medicaid | ID | |
| 003060200 | Medicaid | ID | |
| 100502570 | Medicaid | NV |
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