Unknown Individual – Independent Medical Examiner Physician, NPI 1629242045
Independent Medical Examiner Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
811N HARRISVILLE RD
HARRISVILLE, UT 844043537
Phone: (801) 399-1818
Fax: (801) 782-8412
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | UT | |
| - | UT | |
| Clinical Social Worker | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | CA |
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