Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 7607900-1202 | UT |
NPI | 1336656909 |
---|---|
Provider Name | Dr. Harrison Salisbury |
First Address | Orem, UT 84057-6601 |
Second Address | Orem, UT 84057-6601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2018 |
Last Update Date | 04/01/2018 |