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Individual

DR. AUSTIN BLAIR IMUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-3773
Mailing address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-3773

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
178981-1204
UT

Other

Enumeration date
02/23/2006
Last updated
12/14/2012
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