Individual
BARLOW L. PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1275 FORT UNION BLVD, SUITE 210, MIDVALE, UT 84047-1895
(801) 566-5959
(801) 304-9322
Mailing address
1275 FORT UNION BLVD, SUITE 210, MIDVALE, UT 84047-1895
(801) 566-5959
(801) 304-9322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
131845-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
830602
UNITED CONCORDIA
UT
Enumeration date
08/15/2006
Last updated
07/08/2007
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