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Contact Information

UNIVERSITY OF UTAH NEUROSURGERY IMC
5171 COTTONWOOD ST
STE 945
MURRAY, UT84107-5704
 Phone: 801-507-9565
 Fax: 801-507-9567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF UTAH NEUROSURGERY IMC

NPI Number 1669732830
LBN Legal business name UNIVERSITY OF UTAH NEUROSURGERY IMC
Authorized official WILLIAM COULDWELL - (DEPT CHAIR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2012
Last updated 05/22/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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