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Individual
TODD R PLUMB
Active
Individual
TODD R PLUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
187469-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002084198
—
NV
01
—
107005496102
IHC
UT
01
—
116293
DESERET MUTUAL
UT
05
—
118903400
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
73622
PEHP
UT
05
—
805388100
—
ID
05
—
822123
—
AZ
01
—
870545614TP3
EDUCATORS MUTUAL
UT
01
—
9855
HEALTHY U
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA07508
MOLINA
UT
Enumeration date
10/16/2006
Last updated
10/15/2012
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