Individual
ROBERT JASON CORYELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-1000
Mailing address
PO BOX 30180, MC: CDRC-P, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML20008670
WA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
42139546-1205
UT
Other
Enumeration date
08/19/2006
Last updated
11/11/2025
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