Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 308480-1205 | UT |
NPI | 1053371542 |
---|---|
Provider Name | Arnold Finkleman |
First Address | Park City, UT 84060-7249 |
Second Address | Salt Lake City, UT 84102-1507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A24807 | (02) | UT |
D1165 | (05) | UT |