Provider Demographics
NPI:1629596382
Name:RED ROCK NEUROLOGY, LLC
Entity Type:Organization
Organization Name:RED ROCK NEUROLOGY, LLC
Other - Org Name:RED ROCK NEUROLOGY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHLAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:435-673-5217
Mailing Address - Street 1:515 S 300 E STE 107
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3931
Mailing Address - Country:US
Mailing Address - Phone:435-673-5217
Mailing Address - Fax:
Practice Address - Street 1:515 S 300 E STE 107
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3931
Practice Address - Country:US
Practice Address - Phone:435-673-5217
Practice Address - Fax:435-673-5174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT741765212052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty