| Neurostimulation Clinic - Pediatric Adolescent | |
|
501 S Chipeta Way Salt Lake City UT 84108-1222 | |
| (801) 587-6336 | |
| Not Available |
| Full Name | Neurostimulation Clinic - Pediatric Adolescent |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 501 S Chipeta Way, Salt Lake City, Utah |
| Authorized Official Name and Position | Jon Kar Zubieta (DEPARTMENT CHAIR) |
| Authorized Official Contact | 8015876336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurostimulation Clinic - Pediatric Adolescent Po Box 413021 Salt Lake City UT 84141-3021 Ph: (801) 587-6336 | Neurostimulation Clinic - Pediatric Adolescent 501 S Chipeta Way Salt Lake City UT 84108-1222 Ph: (801) 587-6336 |
| NPI Number | 1033573191 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033573191 | NPI | - | NPPES |
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