BLUE ROCK NEUROLOGICAL LLC
Organization (NPI-2)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1730554734- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3152 N UNIVERSITY AVE STE 220, PROVO, UT, 846044746
- Phone
- (801) 229-1014
- Fax
- (801) 229-1067
Specialties & Taxonomies
Family Medicine, Addiction Medicine
License: UT
Pain Medicine, Interventional Pain Medicine
License: UT
Physician Assistant, Medical
License: UT
Nurse Practitioner, Family
License: UT
Psychiatry & Neurology, Neurology
Primary License: UT