Organization
NEUROSYNC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L. SCOTT WATSON (OWNER)
(801) 699-4655
Entity
Organization
Contact information
Practice address
5801 FASHION BLVD, STE 120, MURRAY, UT 84107-6159
(801) 699-4655
Mailing address
555 E 4500 S, STE C150, SALT LAKE CITY, UT 84107-4533
(801) 288-0747
(801) 288-0761
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LN-2010-0114
UT
Other
Enumeration date
01/13/2011
Last updated
03/30/2011
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