Individual
ALEXEJ BARG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7445
(801) 587-5411
Mailing address
127 S 500 E, SUITE 600, SALT LAKE CITY, UT 84102-1959
(801) 587-6336
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9288037-1252
UT
207XX0801X
Orthopaedic Trauma Physician
1234567-1205
UT
Other
Enumeration date
01/05/2015
Last updated
09/22/2017
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