Organization
UTAH NEUROLOGICAL CLINIC, INC.
Active
Parent organization
UTAH NEUROLOGICAL CLINIC INC
Other names
Utah Neurological Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
UTAH NEUROLOGICAL CLINIC INC
Authorized official
MIRIAM S BIRCH (BILLING)
(801) 850-6254
Entity
Organization
Contact information
Practice address
1055 N 300 W STE 400, PROVO, UT 84604-3359
(801) 357-7404
(801) 357-7587
Mailing address
PO BOX 35937, BELFAST, ME 04915-1201
(801) 357-7404
(801) 357-7587
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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