Samantha Elise Allen, CNIM

Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Tremonton, UT

NPI 1205645892 · NPPES record last updated Jan 7, 2025

Key facts

NPI
1205645892
Entity type
Individual (NPI type 1)
Primary specialty
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
Practice address
9825 N 10800 W
Tremonton, UT 84337-9222
Phone
(801) 643-5057
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Yes

Addresses

Primary practice location

9825 N 10800 W
Tremonton, UT 84337-9222

Mailing address

890 E 3250 N
Ogden, UT 84414-1773
Phone (307) 333-3161

Other providers in Tremonton, UT

All providers in Tremonton, UT · Electroneurodiagnostic Specialist/Technologist in Utah

Sources for this page

Verify at the official NPI Registry.