Neural Effects
Neural Effects is a Multi-Specialty Clinic/Center in Provo, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
320 River Park Dr Ste 255Provo, UT 84604-6065
Phone: (801) 616-3675
Fax: (385) 225-9313
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1194330118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jefferson Gaufin — Ceo · (801) 616-3675 |
| NPI enumerated | September 15, 2020 |
| Last updated in NPPES | April 25, 2024 |
| Certification date | April 25, 2024 |
| Mailing address | 320 River Park Dr Ste 255, Provo, UT 84604-6065 |
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