Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 6263334-1205 | UT |
Y | 207Q00000X | Family Doctor | 62633341205 | UT |
N | 207QS0010X | Family Doctor - Sports Medicine | 62633341205 | UT |
NPI | 1003992470 |
---|---|
Provider Name | Dr. Tauaina James Ngatuvai |
First Address | American Fork, UT 84003-2054 |
Second Address | Lehi, UT 84043-2241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2006 |
Last Update Date | 15/01/2015 |