Organization · Type 2 NPI

Blue Rock Neurological LLC

Neurology Physician · Provo, UT

NPI number 1730554734 Active

Practice location

3152 N University Ave Ste 220
Provo, UT 84604-4746

Fax (801) 229-1067

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician 207QA0401XNone listed
Neurology Physician Primary 2084N0400XNone listed
Interventional Pain Medicine Physician 208VP0014XNone listed
Medical Physician Assistant 363AM0700XNone listed
Family Nurse Practitioner 363LF0000XNone listed

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.

2 other providers at this address

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About NPI 1730554734

Blue Rock Neurological LLC's National Provider Identifier is 1730554734, issued on Dec 2, 2015. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Provo, UT. The record was last updated on Dec 2, 2015.