Individual
CATHEY A PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120-2049
(801) 964-3100
Mailing address
144 S 500 E, 2ND FLOOR, SALT LAKE CITY, UT 84102-1907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
280092-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
280092-1205
UT
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
280092-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106033900
DEPT OF LABOR
UT
01
—
1141
HEALTHY U MEDICAID
UT
01
—
238702
ALTIUS
UT
01
—
608832600
W/C
UT
01
—
908246
AHCCCS MEDICAID
UT
01
—
930091496
RAILROAD MEDICARE
UT
01
—
B003
TRICARE
UT
05
—
D1204
—
UT
01
—
P00395858
RAILROAD
UT
Enumeration date
03/30/2006
Last updated
04/15/2010
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