Individual
DR. BILLY JOE BARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 W. 100 N., MONTICELLO, UT 84535-0308
(801) 701-6504
Mailing address
283 E 930 S, OREM, UT 84058-5001
(801) 701-6504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1631821205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
163182-1205
UT
Other
Enumeration date
03/23/2006
Last updated
02/17/2011
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