# INTERMOUNTAIN NEUROLOGY

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

## Provider details

- **NPI number:** 1477540870
- **Authorized official:** DR. JAHAN IMANI MD (OWNER)
- **Authorized official phone:** (801) 475-7707

## Contact information

- **Practice address:** 6112 S 1550 E, OGDEN, UT 84405-5007
- **Practice address phone:** (801) 475-7707
- **Practice address fax:** (801) 475-7322
- **Mailing address:** PO BOX 1512, LAYTON, UT 84041-6512
- **Mailing address phone:** (801) 593-9223
- **Mailing address fax:** (801) 593-9626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 260615 | UT | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 08/22/2020