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Individual

CATHEY A PUTNAM

Active
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Individual

CATHEY A PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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
Update your record

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