Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 36111 | IA |
N | 207W00000X | Ophthalmologist | 6545547-1205 | UT |
Y | 207WX0107X | Retina Specialist | 6545547-1205 | UT |
NPI | 1033110119 |
---|---|
Provider Name | Dr. James G Howard |
First Address | Salt Lake City, UT 84107-6771 |
Second Address | Salt Lake City, UT 84107-6771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 05/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
870525682 | TAX ID # (01) |