NPI Profile for BLUE CREEK MEDICAL in TREMONTON, UT.
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical Neurophysiology |
2084N0600X | 86 | Physician/Neuropsychiatry |
| NPI # | 1285279091 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/15/2019 | |
| Last updated | 01/02/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BLUE CREEK MEDICAL
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