Individual provider · Type 1 NPI
Mark B. Bromberg, MD, PhD
Neurology Physician · Salt Lake City, UT
NPI number
1164517009
Active
Practice location
30 N 1900 E Som # 3R210
Salt Lake City, UT 84132-0001
Mailing address
2782 St Marys Way
Salt Lake City, UT 84108-2040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician | 2084N0400X | 8340A (WY) |
| Neurology Physician Primary | 2084N0400X | 274745-1205 (UT) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1164517009
Mark B. Bromberg, MD, PhD's National Provider Identifier is 1164517009, issued on Oct 4, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 11, 2021.