Organization
UNIVERSITY OF UTAH
Active
Organization
UNIVERSITY OF UTAH
Active
Other names
Dept of neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T COULDWELL MD, PHD (PROFESSOR AND CHAIRMAN)
(801) 581-6908
Entity
Organization
Contact information
Practice address
175 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-6908
(801) 581-4385
Mailing address
175 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-6908
(801) 581-4385
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
190104-3102
UT
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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