NPI 1760576342 · live from the CMS NPI Registry
Andrew P Gasecki, MD, PhD
Psychiatry & Neurology, Neurology in Sandy, UT. National Provider Identifier 1760576342, active.
NPI record
| NPI | 1760576342 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 8706 S 700 E, Suite 200, Sandy, UT 84070 |
| Practice phone | 801-446-8156 |
| Mailing address | 2204 E High Ridge Ln, Sandy, UT 84092 |
| Enumerated | October 3, 2006 |
| Last updated | January 5, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 3626031205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.