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Organization

SUMMIT NEUROVISTA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TABITHA CAMPBELL (OWNER)
(801) 910-2876
Entity
Organization

Contact information

Practice address
1988 W MONUMENT VALLEY RD, HURRICANE, UT 84737-4962
(801) 910-2876
Mailing address
1988 W MONUMENT VALLEY RD, HURRICANE, UT 84737-4962

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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