Individual
DR. BARRY P MARKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, MS # 12, LOS ANGELES, CA 90027-6062
(323) 361-2557
(323) 361-1022
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 558-8276
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
13458906-1205
UT
2080P0203X
Pediatric Critical Care Medicine Physician
R3L63
MO
208M00000X
Hospitalist Physician
13458906-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202829107
—
MO
01
—
336
MO-BLUE SHIELD
—
Enumeration date
07/17/2006
Last updated
12/12/2024
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