Organization
UTAH NEUROLOGICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM BIRCH (BILLING)
(801) 655-4844
Entity
Organization
Contact information
Practice address
1055 N. 300 W. STE 400, PROVO, UT 84604
(801) 357-7404
(801) 357-7587
Mailing address
1055 N 300 W STE 400, PROVO, UT 84604-3359
(801) 655-4844
(801) 357-7587
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
10/19/2023
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