Individual
J TIMOTHY DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3723 W 12600 S, SUITE 450, RIVERTON, UT 84065-7295
(801) 285-4543
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 302-7300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
983638911205
UT
Other
Enumeration date
08/31/2006
Last updated
11/09/2009
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