NPI 1124250592

Western States Medical LLC

Organisation Electroneurodiagnostic Specialist/Technologist Washington Terrace, UT

Practice location

Address: 448 E 5350 S STE B, Washington Terrace, UT 84405-5415
Phone: (801) 540-4564

Authorised official

Name: Cary Fairbourn
Title: President
Phone: (801) 540-4564

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X

Other Specialist/Technologist, Other providers in Utah →

Registry record

NPI: 1124250592
Entity type: Organization
NPI issued: 18 Aug 2009
Record last updated: 18 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.