Individual
MICHAEL T. BOUNAJEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 N MEDICAL DR E #5, SALT LAKE CITY, UT 84132-0001
(801) 581-6908
Mailing address
175 N MEDICAL DR E #5, SALT LAKE CITY, UT 84132-0001
(801) 581-6908
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
12439568-1205
UT
Other
Enumeration date
03/30/2020
Last updated
09/17/2021
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