Provider Demographics
NPI:1235801481
Name:NEURO CONNEXIONS
Entity Type:Organization
Organization Name:NEURO CONNEXIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-703-5360
Mailing Address - Street 1:382 E 400 N
Mailing Address - Street 2:STE. A
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-1991
Mailing Address - Country:US
Mailing Address - Phone:801-703-5360
Mailing Address - Fax:801-515-0304
Practice Address - Street 1:382 E 400 N
Practice Address - Street 2:STE. A
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-1991
Practice Address - Country:US
Practice Address - Phone:801-703-5360
Practice Address - Fax:801-515-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine