Individual
DR. MOHAMMAD ENTEZARI TAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 S 1100 E, AMERICAN FORK, UT 84003-2829
(801) 763-0901
(801) 763-0903
Mailing address
212 S 1100 E, AMERICAN FORK, UT 84003-2829
(801) 763-0901
(801) 763-0903
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
3445947-1205
UT
2084N0400X
Neurology Physician
7015A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119464000
—
WY
Enumeration date
04/26/2006
Last updated
10/27/2022
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