Organization
INTERMOUNTAIN EPILEPSY & SLEEP CENTER, INC
Active
Other names
MAYA THOMAS
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA THOMAS MD (NEUROLOGIST)
(801) 266-5559
Entity
Organization
Contact information
Practice address
5323 WOODROW ST., SUITE 203, MURRAY, UT 84107-5851
(801) 266-5559
(801) 266-5569
Mailing address
5323 WOODROW ST., SUITE 203, MURRAY, UT 84107-5851
(801) 266-5559
(801) 266-5569
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
323269-1205
UT
Other
Enumeration date
03/15/2011
Last updated
07/15/2011
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