NPI 1962821801 · live from the CMS NPI Registry
Jonathan Galli
Psychiatry & Neurology, Neurology in Salt Lake City, UT. National Provider Identifier 1962821801, active.
NPI record
| NPI | 1962821801 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 175 N Medical Dr E, Salt Lake City, UT 84132 |
| Practice phone | 801-585-6387 |
| Enumerated | April 8, 2014 |
| Last updated | November 1, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 9538389-1205 (UT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.