| NPI | 1922607589 |
|---|---|
| Doing Business As | DESERT RIDGE NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | TRENTON L OVERALL President 435-218-6958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-11-20 |