Salt Lake Region Neurosurgery LLC

NPI #1033392071 in Salt Lake City, Utah

Provider Information

NPI Number: 1033392071
Entity Type: Organization
Organization Name: Salt Lake Region Neurosurgery LLC
Primary Specialty: Specialist
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 82 SO 1100 EAST
Address 2: 303
City: Salt Lake City
State: Utah
ZIP Code: 84102-1687
Phone: (801) 598-1041

Authorized Official

Name: JODIE KAREN LEVITT, MD
Title: PHYSICAN
Phone: (801) 598-1041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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