Robert Jason Coryell, MD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1619082070
StatusActive
Last updated in NPPESSep 21, 2026
Details
- NPI
- 1619082070
- Entity type
- Individual (NPI-1)
- Name
- Robert Jason Coryell
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2006
- Certification date
- Sep 21, 2026
- Last updated
- Sep 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 42139546-1205 | UT | Yes |
| 208000000X | Pediatrics | ML20008670 | WA |
Practice location
81 N Mario Capecchi DrSalt Lake City, UT 84113-1125
Phone 801-662-1000
Mailing address
Po Box 30180Mc: Cdrc-P
Salt Lake City, UT 84130-0180
Other practice locations
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