Individual
DR. GLEN F BIDDULPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
(801) 525-8196
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
973433871205
UT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
343387-1205
UT
Other
Enumeration date
07/06/2006
Last updated
08/02/2012
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