Blue Rock Neurological LLC
Blue Rock Neurological LLC is an Addiction Medicine (Family Medicine) Physician in Provo, Utah. Licensed in Utah. Registered with an NPI since 2015.
- Licensed in
- UT
- In the registry since
- 2015
- Specialties on file
- 5
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3152 N University Ave Ste 220Provo, UT 84604-4746
Phone: (801) 229-1014
Fax: (801) 229-1067
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X (UT) |
|---|---|
| Addiction Medicine (Family Medicine) Physician | Taxonomy 207QA0401X (UT) |
| Interventional Pain Medicine Physician | Taxonomy 208VP0014X (UT) |
| Medical Physician Assistant | Taxonomy 363AM0700X (UT) |
| Family Nurse Practitioner | Taxonomy 363LF0000X (UT) |
Record details
| NPI number | 1730554734 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wendell Gibby — Manager/Owner · (801) 229-1014 |
| NPI enumerated | December 2, 2015 |
| Last updated in NPPES | December 2, 2015 |
| Mailing address | 3152 N University Ave Ste 220, Provo, UT 84604-4746 |
Other providers in Provo
-
Dr. Lawrence W. Astle, MD
151 S University Ave Ste 1400, Provo, UT 84601-4427 · (801) 851-7113
-
Brighter Path Addiction Medicine, PLLC
619 N 500 W, Provo, UT 84601-1547 · (385) 204-2949
-
Dr. Robert Joel Bush, MD
750 N Freedom Blvd Ste 300, Provo, UT 84601-1690 · (801) 852-1443
-
Dr. Daniel Clyde Cummings, MD
694 N 1890 W Unit 44A, Provo, UT 84601-1327 · (801) 406-1044
-
Utah Addiction Medicine
619 N 500 W, Provo, UT 84601-1547 · (801) 852-9440