Organization
SALT LAKE REGION NEUROSURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE KAREN LEVITT MD (PHYSICAN)
(801) 598-1041
Entity
Organization
Contact information
Practice address
82 SO 1100 EAST, 303, SALT LAKE CITY, UT 84102-1687
(801) 598-1041
Mailing address
82 SO 1100 EAST, 303, SALT LAKE CITY, UT 84102-1687
(801) 598-1041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5166746-1205
UT
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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