Individual
CHARLES G PRIBBLE
Active
Individual
CHARLES G PRIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
173715-1205
UT
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
173715-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002085560
FIRST HEALTH
UT
05
—
002967300
—
ID
05
—
105131800
—
WY
01
—
107006307101
IHC
UT
01
—
174281
DESERET MUTUAL
UT
01
—
2000040
UNITED HEALTHCARE
UT
01
—
29927
PEHP
UT
05
—
401765
—
MT
01
—
870280408PR2
EDUCATORS MUTUAL
UT
01
—
8920
HEALTHY U
UT
01
—
PR00809
MOLINA
UT
01
—
QM0000049539
ALTIUS
UT
Enumeration date
08/29/2006
Last updated
12/12/2024
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