Organization
UNIVERSITY OF UTAH NEUROSURGERY IMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T COULDWELL MD (DEPT CHAIR)
(801) 581-6908
Entity
Organization
Contact information
Practice address
5171 COTTONWOOD ST, STE 945, MURRAY, UT 84107-5704
(801) 507-9565
(801) 507-9567
Mailing address
PO BOX 413030, SALT LAKE CITY, UT 84141-3030
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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