Organization
TRAVIS TORMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL BURGON (CREDENTIALING)
(801) 701-6504
Entity
Organization
Contact information
Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 637-4800
Mailing address
560 W 800 N, OREM, UT 84057-3746
(801) 225-6246
(801) 225-1525
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9000395-1204
UT
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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