Timber Ridge Holdings LLC
NPI #1508098906 in Washington Terrace, Utah
Provider Information
- NPI Number
- 1508098906
- Entity Type
- Organization
- Organization Name
- Timber Ridge Holdings LLC
- Primary Specialty
- Psychiatry & Neurology - Clinical Neurophysiology
- 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
- BRIAN PENNOCKS, DTP
- Title
- MEDICAL DIRECTOR
- Phone
- (801) 698-1160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Clinical Neurophysiology — Clinical Neurophysiology |
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