Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 5239675-1205 | UT |
NPI | 1326046160 |
---|---|
Provider Name | Robin Ockey |
First Address | Orem, UT 84058-5001 |
Second Address | Provo, UT 84604-3383 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 06/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
107016518103 | IHC (01) | UT |
1326046160 | (05) | UT |
42396751203001 | BLUE CROSS (01) | UT |
783689 | DMBA (01) | UT |
870284448ZRB | EMIA (01) | UT |
G69970 | (02) | UT |