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Individual

MR. ROBERT GUSTAV BARTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.C.S.W.

Contact information

Practice address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 566-4423
Mailing address
7434 S STATE ST, MIDVALE, UT 84047-2014
(801) 566-4423

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50294813501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00310307
RAILROAD MEDICARE
UT
01
107031260101
INTRMTN. HEALTH CARE
UT
01
50294813500001
BLUE CROSS
UT
01
885122
DESERET MUTUAL
UT
01
94293834BRB
EDUCATORS MUTUAL
UT
01
Q41206
MEDICARE ADVANTAGE PLANS
UT
01
U000076256
VALLEY MENTAL HEALTH
UT
Enumeration date
12/20/2005
Last updated
09/13/2012
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