Alvin J Wirthlin MD PC
Psychiatry & Neurology, Neurology in Salt Lake City, UT. Organization (NPI-2).
NPI number1487765145
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1487765145
- Entity type
- Organization (NPI-2)
- Legal business name
- Alvin J Wirthlin MD PC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 1550161205 | UT | Yes |
Practice location
324 10th AveSuite 228
Salt Lake City, UT 84103
Phone 801-364-0551
Mailing address
1500 Alta CircleSalt Lake City, UT 84103
Phone 801-364-0551
Authorized official
Alvin J Wirthlin
President
8013640551
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