Unknown Individual – Neurology with Special Qualifications in Child Neurology Physician, NPI 1841233749
Neurology with Special Qualifications in Child Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
375, Chipeta Way, Research Park, Salt Lake City, Salt Lake County, Utah, 84108, United States
SUITE 200A
SALT LAKE CITY, UT 841081260
Phone: (801) 581-2016
Fax: (801) 587-3349
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84108)
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