Nutcracker
Nutcracker is a Psychiatry Physician in Salem, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
Practice location Address checks out
251 W Hwy 198Salem, UT 84653-0786
Phone: (801) 423-3267
Fax: (801) 423-3276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 1460511205 (UT) |
|---|
Record details
| NPI number | 1093729048 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Phil Washburn — Clinical Adviser · (801) 423-3267 |
| NPI enumerated | July 27, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 786, Salem, UT 84653-0786 |