Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS MICHAEL ABSALOM, MD
ActiveNeurology · MIDVALE, UT
Registration Details
- NPI Number
- 1770744112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2008 (17.84284226305 yrs)
- Last Updated
- Jan 6, 2026
- Licenses
-
310721 (LA)2020003928 (MO)036148630 (IL)ME134160 (FL)P0329 (TX)
Practice Information
- Address
-
7259 S BINGHAM JUNCTION BLVDMIDVALE, UT, 840474860Browse UT providers · Browse ZIP 84047
- Phone
- 8012646400
- Primary Specialty
-
Neurology
2084N0400X
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.