Individual
DR. ROBERT ALLAN HAVARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3838 S 700 E STE 100, SALT LAKE CITY, UT 84106-1494
(801) 269-0231
(801) 269-0304
Mailing address
1121 E 3900 S STE C230, SALT LAKE CITY, UT 84124-1297
(801) 262-9494
(801) 262-0507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9779327-1205
UT
207RH0000X
Hematology (Internal Medicine) Physician
9779327-1205
UT
207RH0003X
Hematology & Oncology Physician
9779327-1205
UT
207RX0202X
Medical Oncology Physician
Primary
9779327-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9779327-1205
UT STATE LICENSE
UT
Enumeration date
04/16/2013
Last updated
06/04/2019
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