Individual
DR. THAD JOSEPH BARKDULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 N 2000 W, PLEASANT GROVE, UT 84062-4047
(801) 756-3511
(801) 443-1164
Mailing address
830 N 2000 W, PLEASANT GROVE, UT 84062-4047
(801) 756-3511
(801) 443-1164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53652411205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107025832102
SELECT HEALTH
UT
01
—
1106193
DESERET HEALTHCARE TRUST
UT
01
—
128704
PEHP
UT
01
—
1871524421
ALTIUS
UT
05
—
1871524421
—
UT
01
—
P01065419
RAILROAD MEDICARE
UT
Enumeration date
07/05/2006
Last updated
05/01/2013
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