Organization
INTERMOUNTAIN NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAHAN IMANI MD (OWNER)
(801) 475-7707
Entity
Organization
Contact information
Practice address
6112 S 1550 E, OGDEN, UT 84405-5007
(801) 475-7707
(801) 475-7322
Mailing address
PO BOX 1512, LAYTON, UT 84041-6512
(801) 593-9223
(801) 593-9626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
260615
UT
Other
Enumeration date
09/30/2005
Last updated
08/22/2020
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