William Harmon Tettelbach in Salt Lake City - Undersea And Hyperbaric Medicine
William Harmon Tettelbach - NPI 1336143361
William Harmon Tettelbach is a Undersea And Hyperbaric Medicine in Salt Lake City, Utah. William Harmon Tettelbach practices all healthcare services and medical treatments related to Undersea And Hyperbaric Medicine. The NPI Number for William Harmon Tettelbach is 1336143361. The last update date is 2022-10-10.
William Harmon Tettelbach's current location address is 1160 E 3900 S Ste G175, Salt Lake City, Utah. You can contact this provider via phone number 126874058. The mailing address for William Harmon Tettelbach is 1160 E 3900 S Ste G175, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Harmon Tettelbach |
|---|---|
| Address | 1160 E 3900 S Ste G175, Salt Lake City, Utah |
| Phone Number | 126874058 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336143361 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2022-10-10 |
Provider Mailing Address Detail
| Address | 1160 E 3900 S Ste G175 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 8412412020 |
| Phone Number | 126874058 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Undersea And Hyperbaric Medicine |
|---|---|
| Taxonomy | 2083P0011X |
| Licence No | 351005-1205 |
|
Definition: A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infect |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3510051205 | UT | UTAH LICENSE | |
| 3714443 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to William Harmon Tettelbach by the Centers for Medicare & Medicaid Services?
The William Harmon Tettelbach has been issued the NPI (National Provider Identifier) 1336143361 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of William Harmon Tettelbach?
The William Harmon Tettelbach is physically situated at 1160 E 3900 S Ste G175, in the city of Salt Lake City, state of UT, with the postal code 8412412020.
What is William Harmon Tettelbach's specialized field of practice, and what is the corresponding taxonomy classification code?
The William Harmon Tettelbach's area of specialization is Undersea And Hyperbaric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2083P0011X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336143361 to William Harmon Tettelbach?
The Centers for Medicare & Medicaid Services originally issued the 1336143361 to William Harmon Tettelbach on 2005-06-08.
When was the William Harmon Tettelbach's information last updated?
The William Harmon Tettelbach's information was last updated on 2022-10-10.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN