Organization
UNIVERSITY OF UTAH NEURO CRITICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFAN M PULST MD (DEPARTMENT CHAIR)
(801) 585-7575
Entity
Organization
Contact information
Practice address
175 N MEDICAL DR, SALT LAKE CITY, UT 84132-5901
(801) 585-7575
Mailing address
PO BOX 413027, SALT LAKE CITY, UT 84141-3027
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
11/08/2012
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