Organization
JOSEPH D HILLAM MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D HILLAM M.D. (OWNER/PRESIDENT)
(435) 734-9439
Entity
Organization
Contact information
Practice address
990 MEDICAL DR, SUITE U2, BRIGHAM CITY, UT 84302-4713
(435) 734-9439
(435) 723-0267
Mailing address
990 MEDICAL DRIVE, SUITE U2, BRIGHAM CITY, UT 84302-4714
(435) 734-9439
(435) 723-0267
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1529431205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528620884009
—
UT
Enumeration date
12/18/2009
Last updated
12/18/2009
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