# NEUROLOGY SPECIALTY CLINIC, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1861837924
- **Authorized official:** KAREN WATKINS RN (BILLING MANAGER)
- **Authorized official phone:** (801) 473-7035

## Contact information

- **Practice address:** 11762 S STATE ST, STE 333, DRAPER, UT 84020-7155
- **Practice address phone:** (801) 473-7035
- **Practice address fax:** (801) 607-1467
- **Mailing address:** PO BOX 970802, OREM, UT 84097-0802
- **Mailing address phone:** (801) 473-7035
- **Mailing address fax:** (801) 607-1467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 1706651205 | UT | Yes |

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 05/02/2013