Organization
CONCUSSION CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY MECHAM DC (MANAGER)
(801) 758-5019
Entity
Organization
Contact information
Practice address
4700 S 900 E STE 16, MURRAY, UT 84117-4980
(801) 758-5019
Mailing address
4700 S 900 E STE 16, MURRAY, UT 84117-4980
(801) 758-5019
Taxonomy
Speciality
Code
Description
License number
State
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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