Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 3082749-1205 | UT |
N | 207P00000X | Emergency Physician | H6143 | TX |
Y | 207PE0004X | Emergency Medical Services | 30827491205 | UT |
N | 207R00000X | Internist | H6143 | TX |
N | 111NI0900X | Internist | H6143 | TX |
NPI | 1134179484 |
---|---|
Provider Name | Robert B. Curtis |
First Address | Orem, UT 84057-3746 |
Second Address | Price, UT 84501-4218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 27/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134179484 | (05) | UT |
807933000 | (05) | ID |
E61899 | (02) |