Individual
DR. TIMOTHY MICHAEL PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010-8925
(801) 292-1422
(801) 296-0436
Mailing address
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010-8925
(801) 292-1422
(801) 296-0436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14196576-1204
UT
207Q00000X
Family Medicine Physician
72281-21
WI
Other
Enumeration date
06/05/2018
Last updated
03/18/2025
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