NPI 1093749657 · live from the CMS NPI Registry
John Edward Greenlee, M.D.
Psychiatry & Neurology, Neurology in Salt Lake City, UT. National Provider Identifier 1093749657, active.
NPI record
| NPI | 1093749657 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | Clinical Neuroscience Ctr Fl 5, 175 N Medical Drive E., Salt Lake City, UT 84132 |
| Practice phone | 801-585-2915 |
| Mailing address | 3663 Viewcrest Cir, Salt Lake City, UT 84124 |
| Enumerated | July 10, 2006 |
| Last updated | November 2, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 1751231205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.