Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 183484 | UT |
NPI | 1033205760 |
---|---|
Provider Name | Dr. Ronald D Joseph |
First Address | Salt Lake City, UT 84121-6923 |
Second Address | Salt Lake City, UT 84124-1348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 09/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
28000 | PUBLIC EMPLOYEES (01) | UT |
F23604 | (02) | UT |
QM0000017620 | ALTIUS (01) | UT |