Individual
DR. JAMES G THEURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1735 N STATE ST, PROVO, UT 84604-1010
(801) 374-1818
(801) 379-2959
Mailing address
120 S 1025 E, LINDON, UT 84042-2134
(801) 362-3151
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
983624541205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800084
UNITED HEALTHCARE
UT
01
—
107008469102
SELECT HEALTH
UT
01
—
1182764
AFFORDABLE
UT
01
—
180041850
RAILROAD MEDICARE
UT
01
—
345610
DMBA
UT
01
—
5557665
AETNA
UT
01
—
8064710002
CIGNA
UT
01
—
87028357684604A001
PGBA
UT
01
—
870283576TH1
EMIA
UT
Enumeration date
01/27/2006
Last updated
09/16/2011
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