Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 176815-1205 | UT |
N | 207VG0400X | Gynecologist | 176815-1205 | UT |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 176815-1205 | UT |
N | 207VX0000X | Obstetrician | 176815-1205 | UT |
NPI | 1396783486 |
---|---|
Provider Name | Michael W Varner |
First Address | Salt Lake City, UT 84132-0002 |
Second Address | Salt Lake City, UT 84132-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 19/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08904 | (05) | UT |
B18003 | (02) | UT |