IndividualActive
Michael Bounajem, MD
NPI 1093343527 · Neurological Surgery Physician · Salt Lake City, UT
Provider details
- NPI number
- 1093343527
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12439568-1205 (UT)
Practice location
175 N Medical Dr E #5
Salt Lake City, UT 84132-0001
Phone: (801) 581-6908
Mailing address
175 N Medical Dr E #5
Salt Lake City, UT 84132-0001
Registry dates
- Enumerated
- 2020-03-30
- Last updated
- 2021-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.