Active NPI 1760687388 Individual Practitioner Male Practitioner

Dr. Bryant Mark Whiting , MD

Urology • St George, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bryant Whiting, MD is a certified Urology practicing in St George, UT. With approximately 19 years of clinical experience since graduating from University Of Utah School Of Medicine in 2007, Dr. Whiting delivers high-quality medical care to the local community at 1380 E MEDICAL CENTER DR.

Dr. Whiting is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, injection, ceftriaxone sodium, per 250 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1380 E Medical Center Dr
Ste 2100

St George, UT 847902123

Telephone 4352513250

Fax 4352513251

Associated Practice Facility / Clinic

🏢 Ihc Health Services Inc Facility NPI 1801836291

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in St George, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -4.4 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

7 Specialists

Practicing in St George, UT (112 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whiting (19 Years) 19 Yrs

St George Specialty Average (23.4 Years) 23.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,700	18	$12.00	$6.26
J0696 Injection, ceftriaxone sodium, per 250 mg	136	33	$2.00	$0.45
99213 Established patient office or other outpatient visit, typically 15 minutes	131	104	$205.00	$86.22
52000 Diagnostic exam of bladder and urethra using an endoscope	130	110	$550.00	$218.41
51798 Ultrasound measurement of bladder capacity after voiding	124	111	$39.00	$10.21
81003 Automated urinalysis test	122	106	$5.00	$2.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	109	$289.00	$121.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$374.13	$154.78
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	69	25	$300.00	$108.17
74420 Imaging of urinary tract	49	40	$55.00	$23.02
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	47	36	$36.50	$15.70
52332 Insertion of stent in urinary duct (ureter) using an endoscope	41	31	$489.02	$138.25
51702 Simple insertion of temporary bladder tube	38	18	$152.00	$58.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	33	$43.00	$13.48
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	32	32	$1835.94	$683.24
76872 Ultrasound scan of pelvic region through rectum	30	30	$406.13	$124.51
55700 Biopsy of prostate gland	30	30	$550.00	$225.92
57288 Creation of sling around bladder canal (urethra) to control leakage	27	26	$1697.00	$399.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$254.00	$123.43
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	25	$991.04	$389.57
52287 Exam with injections of chemical for destruction of bladder using an endoscope	25	18	$890.00	$352.95
57425 Surgical repair of vaginal defect using an endoscope	23	23	$1967.13	$907.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$405.00	$171.76
99459 Pelvic exam	14	14	$47.00	$19.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$254.00	$106.00
52283 Steroid injection into bladder canal (urethra) stricture using an endoscope	11	11	$573.18	$100.29
52500 Removal of bladder neck through bladder canal (urethra)	11	11	$1126.27	$470.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	150	$143.27	$85.44
81003 Automated urinalysis test	179	146	$5.00	$2.18
51798 Ultrasound measurement of bladder capacity after voiding	143	131	$39.07	$9.80
52000 Diagnostic exam of bladder and urethra using an endoscope	135	114	$502.53	$222.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	110	$202.50	$121.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$263.19	$158.65
J0696 Injection, ceftriaxone sodium, per 250 mg	72	17	$2.00	$0.52
52332 Insertion of stent in urinary duct (ureter) using an endoscope	65	45	$516.34	$136.73
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	56	21	$298.75	$109.83
74420 Imaging of urinary tract	54	44	$39.07	$23.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$179.00	$106.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$222.13	$125.16
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	29	29	$1828.00	$692.16
57288 Creation of sling around bladder canal (urethra) to control leakage	21	21	$1432.67	$458.57
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	18	$992.55	$392.03
55700 Biopsy of prostate gland	18	17	$479.39	$228.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	17	$43.00	$13.37
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	18	18	$906.00	$308.18
76872 Ultrasound scan of pelvic region through rectum	17	16	$316.06	$128.23
57425 Surgical repair of vaginal defect using an endoscope	16	16	$1946.00	$935.58
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	11	11	$660.64	$272.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	158	$122.07	$86.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	145	$175.20	$122.61
51798 Ultrasound measurement of bladder capacity after voiding	158	141	$40.78	$9.59
52000 Diagnostic exam of bladder and urethra using an endoscope	137	121	$462.10	$229.64
81003 Automated urinalysis test	127	109	$6.04	$2.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$270.14	$159.27
J0696 Injection, ceftriaxone sodium, per 250 mg	96	24	$2.00	$0.50
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	56	19	$286.00	$113.88
74420 Imaging of urinary tract	54	41	$40.59	$23.76
52332 Insertion of stent in urinary duct (ureter) using an endoscope	51	31	$585.76	$122.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$177.42	$107.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	26	$46.06	$13.68
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	32	32	$1874.13	$700.43
57288 Creation of sling around bladder canal (urethra) to control leakage	29	29	$1421.17	$414.79
57425 Surgical repair of vaginal defect using an endoscope	24	24	$1957.88	$946.93
55700 Biopsy of prostate gland	23	23	$469.00	$223.22
76872 Ultrasound scan of pelvic region through rectum	23	23	$251.17	$132.99
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	17	$990.30	$386.22
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	17	16	$881.65	$321.43
99219 Hospital observation care, typically 50 minutes	16	16	$215.75	$127.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$220.29	$129.33
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	13	11	$572.62	$235.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	183	$116.00	$88.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	186	$171.00	$125.41
J0696 Injection, ceftriaxone sodium, per 250 mg	160	35	$2.00	$0.53
51798 Ultrasound measurement of bladder capacity after voiding	147	125	$40.00	$9.58
52000 Diagnostic exam of bladder and urethra using an endoscope	147	127	$484.00	$220.59
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	127	26	$286.00	$120.11
81003 Automated urinalysis test	118	94	$9.98	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$264.00	$162.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$173.00	$108.43
74420 Imaging of urinary tract	58	48	$39.00	$24.47
52332 Insertion of stent in urinary duct (ureter) using an endoscope	50	44	$1135.68	$119.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	37	$43.00	$13.27
76872 Ultrasound scan of pelvic region through rectum	29	29	$247.00	$128.09
55700 Biopsy of prostate gland	29	29	$469.00	$235.84
57288 Creation of sling around bladder canal (urethra) to control leakage	25	25	$1398.00	$544.04
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	23	22	$878.00	$331.43
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	23	23	$1992.00	$711.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$216.00	$131.56
57425 Surgical repair of vaginal defect using an endoscope	19	19	$2055.74	$953.45
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	16	$1160.00	$440.52
52283 Steroid injection into bladder canal (urethra) stricture using an endoscope	13	12	$594.00	$93.51
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	11	11	$715.00	$280.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	246	190	$115.66	$72.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	172	$170.97	$104.46
81003 Automated urinalysis test	208	170	$5.00	$2.21
51798 Ultrasound measurement of bladder capacity after voiding	146	126	$38.00	$9.65
52000 Diagnostic exam of bladder and urethra using an endoscope	145	126	$420.00	$198.46
J0696 Injection, ceftriaxone sodium, per 250 mg	120	27	$2.00	$0.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$173.00	$103.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$264.00	$160.66
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	77	11	$385.00	$219.48
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	69	23	$280.00	$120.88
74420 Imaging of urinary tract	64	54	$39.00	$25.33
52332 Insertion of stent in urinary duct (ureter) using an endoscope	50	41	$391.04	$126.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	35	$43.00	$13.44
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	38	38	$1722.00	$728.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	31	$225.00	$136.77
52356 Crushing of stone of ureter with insertion of stent using an endoscope	27	27	$998.67	$424.62
76872 Ultrasound scan of pelvic region through rectum	25	25	$238.00	$136.70
55700 Biopsy of prostate gland	25	25	$508.00	$243.17
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	24	22	$858.00	$305.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$118.00	$71.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$68.71	$42.84
99219 Hospital observation care, typically 50 minutes	16	16	$220.00	$134.74
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	15	12	$84.00	$30.19
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	13	13	$698.00	$272.22
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$571.00	$281.89
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	13	13	$595.00	$239.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,700	11	$12.00	$6.03
99213 Established patient office or other outpatient visit, typically 15 minutes	260	199	$116.00	$72.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	189	$171.00	$106.66
51798 Ultrasound measurement of bladder capacity after voiding	206	172	$38.00	$11.98
81003 Automated urinalysis test	171	138	$11.00	$2.40
52000 Diagnostic exam of bladder and urethra using an endoscope	149	130	$504.00	$184.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$264.00	$159.58
J0696 Injection, ceftriaxone sodium, per 250 mg	108	27	$2.00	$0.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$173.00	$105.33
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	68	24	$280.00	$122.87
74420 Imaging of urinary tract	66	55	$38.00	$25.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	40	$43.00	$16.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	52	43	$383.23	$112.95
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	31	31	$1825.00	$709.37
J1885 Injection, ketorolac tromethamine, per 15 mg	30	12	$2.00	$0.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	26	$225.00	$137.45
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	28	26	$858.00	$331.10
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	22	$963.00	$418.45
51702 Simple insertion of temporary bladder tube	23	17	$150.00	$59.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$118.00	$72.91
55700 Biopsy of prostate gland	17	17	$508.00	$246.48
76872 Ultrasound scan of pelvic region through rectum	16	16	$243.00	$122.85
57288 Creation of sling around bladder canal (urethra) to control leakage	15	15	$1358.00	$610.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$69.00	$43.99
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	13	11	$560.00	$220.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	228	174	$115.00	$70.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	160	$170.00	$104.69
51798 Ultrasound measurement of bladder capacity after voiding	167	138	$38.00	$14.88
J0696 Injection, ceftriaxone sodium, per 250 mg	140	30	$2.00	$0.61
52000 Diagnostic exam of bladder and urethra using an endoscope	116	98	$504.00	$159.51
74420 Imaging of urinary tract	63	53	$38.00	$17.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$173.00	$104.09
52332 Insertion of stent in urinary duct (ureter) using an endoscope	53	42	$379.81	$116.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$264.00	$157.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	34	$43.00	$19.58
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	38	38	$1825.00	$724.31
81003 Automated urinalysis test	28	27	$11.00	$2.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$220.37	$135.60
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	26	13	$255.00	$122.90
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	24	$1008.00	$458.88
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	23	22	$840.00	$356.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$69.00	$42.35
76872 Ultrasound scan of pelvic region through rectum	18	18	$234.00	$92.31
55700 Biopsy of prostate gland	18	18	$493.00	$243.25
99219 Hospital observation care, typically 50 minutes	15	15	$200.00	$134.75
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	15	11	$660.00	$284.28
57288 Creation of sling around bladder canal (urethra) to control leakage	14	14	$1314.00	$521.96
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	12	11	$560.00	$230.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	229	170	$115.00	$69.96
52000 Diagnostic exam of bladder and urethra using an endoscope	140	119	$504.00	$154.24
51798 Ultrasound measurement of bladder capacity after voiding	139	109	$37.00	$17.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	111	$170.00	$102.55
J0696 Injection, ceftriaxone sodium, per 250 mg	108	25	$8.22	$0.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$264.00	$159.46
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	68	11	$472.47	$207.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$173.00	$102.59
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	47	47	$2067.00	$816.69
52332 Insertion of stent in urinary duct (ureter) using an endoscope	33	30	$378.55	$117.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	28	$43.00	$23.50
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	20	$1020.00	$412.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$225.00	$135.17
81003 Automated urinalysis test	22	20	$11.00	$3.02
74420 Imaging of urinary tract	20	17	$38.00	$16.50
76872 Ultrasound scan of pelvic region through rectum	20	20	$234.00	$81.23
55700 Biopsy of prostate gland	20	20	$475.00	$229.00
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	19	19	$961.05	$387.60
52630 Removal of remaining or regrown prostate tissue with control of bleeding using an endoscope	16	16	$973.00	$371.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$118.00	$71.09
99238 Hospital discharge day management, 30 minutes or less	14	14	$112.00	$71.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$69.00	$41.90
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$600.00	$237.43
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	12	11	$84.00	$30.74
52234 Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm	11	11	$634.00	$227.17

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License UT 8217924-1205

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License FL TRN10997

Hospital & Practice Group Affiliations

Ihc Health Services Inc

1380 E Medical Ctr Dr, St George, UT 847902129

Phone: 4352513250

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Scott Salmon , DO

Urology

NPI 1063687051

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Brinton , MD

Urology

NPI 1558593046

Doctor of Medicine (M.D.)

Dr. David Adams , MD

Urology

NPI 1669695920

Doctor of Medicine (M.D.)

Tara Carpenter

Physician Assistant - Surgical

NPI 1770108979

Laura Roberts , RN

Registered Nurse

NPI 1962324574

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 27, 2012

Registered at 1380 E MEDICAL CENTER DR, STE 2100, ST GEORGE, UT 847902123 (Tel: 4352513250)

📍

Updated Business Mailing Address June 27, 2012

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

👤

Provider Name / Credentials Updated June 27, 2012

Recorded as BRYANT WHITING, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2012

Urology (License #8217924-1205 in UT)

🟢

Initial NPI Registration & Enumeration June 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760687388

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2007

Last Update: June 27, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.