Individual
MR. JAMES E PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 10TH AVE, STE 170, SALT LAKE CITY, UT 84103-2853
(801) 322-1000
(801) 408-5556
Mailing address
324 10TH AVE, STE 170, SALT LAKE CITY, UT 84103-2853
(801) 322-1000
(801) 408-5556
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
76-159612-1205
UT
207RP1001X
Pulmonary Disease Physician
Primary
76-159612-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006858
RGENCE BLUE SHIELD
ID
05
—
000371439
—
NV
05
—
003011000
—
ID
01
—
107005238103
IHC
—
05
—
107990500
—
WY
01
—
3046
PEHP
—
01
—
31053
STATE FARM
—
01
—
35993
DMBA
—
01
—
48-00035
UHC
—
01
—
48844901
FIRST HEALTH
—
01
—
870371439
P5 HEALTH SERVICE
—
01
—
8703714390001
CIGNA
—
01
—
870371439001
MBA
—
Enumeration date
08/11/2005
Last updated
09/15/2021
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