Jose Perez Tamayo in Bountiful - Diagnostic Radiology

Jose Perez Tamayo - NPI 1093761264

Jose Perez Tamayo is a Diagnostic Radiology in Bountiful, Utah. Jose Perez Tamayo practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jose Perez Tamayo is 1093761264. The last update date is 2010-03-10.

Jose Perez Tamayo's current location address is 380 N 200 W, Bountiful, Utah. You can contact this provider via phone number 8012981300 and fax number 8012966199. The mailing address for Jose Perez Tamayo is 380 N 200 W, Bountiful, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose Perez Tamayo
Address 380 N 200 W, Bountiful, Utah
Phone Number 8012981300
Fax Number 8012966199
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1093761264
Provider Enumeration Date 2006-05-26
Last Updated Date 2010-03-10

Provider Mailing Address Detail

Address 380 N 200 W
City Bountiful
State Utah (UT)
Post Code 840107079
Phone Number 8012981300
Fax Number 8012966199

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 7197358-1205
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10937612601001 UT BLUE CROSS AND BLUE SHIELD OF
107072555101 UT SELECTHEALTH
1093761264 UT UNIVERSITY OF UTAH HEALTH PLAN
10937612600001 UT BLUE CROSS AND BLUE SHIELD OF
36092616 IL --
P00681087 UT RR MEDICARE
P00684779 UT RR MEDICARE
107072555102 UT SELECTHEALTH
1003172 UT DESERET MUTUAL BENEFIT ADMINIS

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FAQs about Jose Perez Tamayo

What is the unique identification code assigned to Jose Perez Tamayo by the Centers for Medicare & Medicaid Services?

The Jose Perez Tamayo has been issued the NPI (National Provider Identifier) 1093761264. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jose Perez Tamayo is located?

The Jose Perez Tamayo is situated at the following address: 380 N 200 W, Bountiful, UT, 840107079.

What is Jose Perez Tamayo's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jose Perez Tamayo's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

When was the Jose Perez Tamayo's 1093761264 issued?

The Jose Perez Tamayo's 1093761264 was issued on 2006-05-26.

As of what date were the details pertaining to Jose Perez Tamayo last refreshed?

The information related to the Jose Perez Tamayo, including its address, specialty, and other relevant details, was last updated on 2010-03-10.

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