Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 8710970-1205 | UT |
Y | 111NI0900X | Internist | 8710970-1205 | UT |
N | 207R00000X | Internist | MD425307 | PA |
N | 111NI0900X | Internist | MD425307 | PA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD425307 | PA |
NPI | 1043388325 |
---|---|
Provider Name | Todd Andrew Bigatel |
First Address | Salt Lake City, UT 84127-0128 |
Second Address | Park City, UT 84060-7552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2006 |
Last Update Date | 19/08/2013 |