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Individual

MITCHELL DOUGLAS BARNECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-7000
Mailing address
5171 S COTTONWOOD ST STE 740, MURRAY, UT 84107-5705
(801) 507-9700
(801) 507-9705

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12724599-1205
MN
207P00000X
Emergency Medicine Physician
Primary
12724599-1205
UT
207P00000X
Emergency Medicine Physician
ME144556
FL

Other

Enumeration date
08/22/2013
Last updated
06/28/2022
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