Organization Name: | INSTITUTE OF NEURAL REGENERATION & TISSUE ENGINEERING |
NPI Number: | 1003115973 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD J. MCMURTREY (DIRECTOR) |
Mailing Address: | 5406 W 11000 N Ste 103-215 Highland |
State: | UT US |
Postal Code: | 840038942 |
Phone Number: | 6506464044 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2011 |
NPI Last Update Date: | 08/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1100X |
License Number: | 49619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Research |
Taxonomy Definition: |