NPI 1477755155 · live from the CMS NPI Registry
Jeffrey John Ekstrand, M.D.,Ph.D.
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT. National Provider Identifier 1477755155, active.
NPI record
| NPI | 1477755155 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 100 Mario Capecchi Dr, Salt Lake City, UT 84113 |
| Practice phone | 801-587-7575 |
| Mailing address | Po Box 413021, Salt Lake City, UT 84141 |
| Enumerated | June 4, 2007 |
| Last updated | December 19, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 6647168-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.