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Individual

MICHAEL ALLEN PULSIPHER

Active
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Individual

MICHAEL ALLEN PULSIPHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
357548-1205
UT
207RH0003X
Hematology & Oncology Physician
357548-1205
UT
208000000X
Pediatrics Physician
357548-1205
UT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
357548-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003038700
ID
05
0031620
MT
01
274044
DMBA #
01
60365
PEHP #
05
61589039
NM
01
904
UNIVERSITY HEALTH PLANS #
05
MD265UT
AK
01
QM0000049131
ALTIUS #
Enumeration date
05/12/2006
Last updated
01/25/2022
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