# UNIVERSITY OF UTAH NEUROMUSCULAR

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

## Provider details

- **NPI number:** 1336496074
- **Authorized official:** STEFAN M PULST (DEPARTMENT CHAIR)
- **Authorized official phone:** (801) 585-6387

## Contact information

- **Practice address:** 175 N MEDICAL DRIVE, SALT LAKE CITY, UT 84132-5901
- **Practice address phone:** (801) 585-7575
- **Mailing address:** PO BOX 413027, SALT LAKE CITY, UT 84141-3027
- **Mailing address phone:** (801) 213-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2012
- **Last updated:** 11/14/2012