Organization
NOVELLUS INTEGRATIVE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS IZATT (MANAGER)
(801) 416-0884
Entity
Organization
Contact information
Practice address
3397 N 1200 E STE 108, LEHI, UT 84043-3262
(801) 416-0884
Mailing address
3397 N 1200 E STE 108, LEHI, UT 84043-3262
(801) 416-0884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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