Western States Medical LLC
NPI #1124250592 in Washington Terrace, Utah
Provider Information
- NPI Number
- 1124250592
- Entity Type
- Organization
- Organization Name
- Western States Medical LLC
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Enumeration Date
- Aug 18, 2009
- Last Updated
- Aug 18, 2009
Practice Location
- Address
- 448 E 5350 S STE B
- State
- Utah
- ZIP Code
- 84405-5415
- Phone
- (801) 540-4564
Authorized Official
- Name
- CARY FAIRBOURN
- Title
- PRESIDENT
- Phone
- (801) 540-4564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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