Organization
MEDICAL NEUROSCIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T COULDWELL MD (DEPT CHAIR)
(801) 581-6909
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
(801) 581-4385
Mailing address
50 N MEDICAL DR, U OF U SOM DEPT OF NEUROSURGERY #3B409, SALT LAKE CITY, UT 84132-0001
(801) 581-6909
(801) 581-4385
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503241
—
NV
05
—
118163700
—
WY
05
—
806539400
—
ID
Enumeration date
09/20/2006
Last updated
09/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us