Organization
NEUROLOGY SPECIALTY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WATKINS RN (BILLING MANAGER)
(801) 473-7035
Entity
Organization
Contact information
Practice address
11762 S STATE ST, STE 333, DRAPER, UT 84020-7155
(801) 473-7035
(801) 607-1467
Mailing address
PO BOX 970802, OREM, UT 84097-0802
(801) 473-7035
(801) 607-1467
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1706651205
UT
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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