Individual
DR. JERRY E HANDY
Active
Individual
DR. JERRY E HANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
177557-1205
UT
2085R0202X
Diagnostic Radiology Physician
M-8396
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09054
—
UT
Enumeration date
05/24/2006
Last updated
09/04/2012
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