Individual
DR. K MICHAEL HANDLON
Active
Individual
DR. K MICHAEL HANDLON
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
5120535-1205
UT
2085R0202X
Diagnostic Radiology Physician
M-11493
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505538
—
NV
05
—
120743100
—
WY
05
—
807115700
—
ID
05
—
923632
—
AZ
05
—
D4482
—
UT
01
—
P00199614
RR MEDICARE
UT
01
—
P00651531
RR MEDICARE
UT
Enumeration date
07/19/2005
Last updated
08/12/2021
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