Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 1841311205 | UT |
NPI | 1154361020 |
---|---|
Provider Name | Ronald P Barlow |
First Address | Orem, UT 84059-1747 |
Second Address | Orem, UT 84057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 16/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10374 | (05) | UT |
107005806104 | SELECT HEALTH (01) | UT |
313368 | DESERET MUTUAL (01) | UT |
81868 | PEHP (01) | UT |
E75067 | (02) | |
P00189770 | RR MEDICARE (01) |