Organization
NEURAL EFFECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERSON B GAUFIN (CEO)
(801) 616-3675
Entity
Organization
Contact information
Practice address
320 RIVER PARK DR STE 255, PROVO, UT 84604-6065
(801) 616-3675
(385) 225-9313
Mailing address
320 RIVER PARK DR STE 255, PROVO, UT 84604-6065
(801) 616-3675
(385) 225-9313
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
04/25/2024
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