Organization
TIMPANOGOS EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BARLOW MD (GROUP HEAD)
(616) 464-0024
Entity
Organization
Contact information
Practice address
750 W 800N, ER DEPT, OREM, UT 84057
(801) 714-6570
Mailing address
PO BOX 1747, OREM, UT 84059-1747
(866) 898-7136
(616) 975-9827
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC7782
RR MEDICARE
—
Enumeration date
07/10/2006
Last updated
05/21/2008
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