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Individual

DR. JOHN Y. BARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1080 WEST UTAH AVE, HILDALE, UT 84784-1489
(435) 874-2555
(435) 874-2553
Mailing address
1080 WEST UTAH AVE, P.O. BOX 841489, HILDALE, UT 84784-1489
(435) 874-2555
(435) 874-2553

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22607
TX
1223G0001X
General Practice Dentistry
278706-9922
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
197013
AHCCCS PROVIDER
AZ
01
24-5710792
FEIN
UT
Enumeration date
06/16/2005
Last updated
10/24/2012
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