Individual
TERRY C HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 E 50 S STE 161, AMERICAN FORK, UT 84003-2845
(801) 377-4623
(801) 377-6832
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
311723-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008159101
IHC
UT
01
—
110224652
PALMETTO GBA
—
01
—
232243
DMBA
UT
01
—
31-00050
UNITED HEALTHCARE
UT
01
—
62052
PEHP
UT
05
—
870281028000
—
UT
01
—
870281028HA1
EMIA
UT
01
—
QM0000044582
ALTIUS
UT
Enumeration date
06/21/2006
Last updated
11/27/2023
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