Individual provider · Type 1 NPI

Robert Jason Coryell, MD

Neurology with Special Qualifications in Child Neurology Physician · Salt Lake City, UT

NPI number 1619082070 Active

Practice location

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125

Mailing address

PO Box 30180, Mc: Cdrc-P
Salt Lake City, UT 84130-0180

Other practice locations

  • 707 SW Gaines St, Mc: Cdrc-P, Portland, OR 97239-2901 · (503) 494-5856

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XML20008670 (WA)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X42139546-1205 (UT)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

210 other providers at this address

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About NPI 1619082070

Robert Jason Coryell, MD's National Provider Identifier is 1619082070, issued on Aug 19, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 21, 2026.