# AYUEN & NUTAKOR SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093374175
- **Authorized official:** AYUEN NUTAKOR (CEO)
- **Authorized official phone:** (801) 662-8956

## Contact information

- **Practice address:** 825 N 300 W STE W307, SALT LAKE CITY, UT 84103-1490
- **Practice address phone:** (801) 662-8956
- **Mailing address:** PO BOX 57001, MURRAY, UT 84157-0001
- **Mailing address phone:** (801) 662-8956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | NULL | Yes |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2019
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 213524127 | DRIVER'S LICENCE NUMBER | UT |