Organization
LUCIA SCOTT ALTAMIRANO MD CORP
Active
Other names
NEUROLOGICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIA ALTAMIRANO MD (PRESIDENT)
(801) 229-1054
Entity
Organization
Contact information
Practice address
3685 N 100 E, SUITE A, PROVO, UT 84604-4594
(801) 229-1054
Mailing address
3685 N 100 E, SUITE A, PROVO, UT 84604-4594
(801) 229-1054
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5019133-1205
UT
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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