Blair, Tarlton J

Blair, Tarlton J is an individual health care provider with primary practice located at 1055 N 500 W Suite 102 Building C, Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Blair, Tarlton J can be contacted via phone (801) 374-2367.

Contact Information

Primary practice address
1055 N 500 W Suite 102 Building C Provo UT 84604-3305
Phone: (801) 374-2367
Fax: (801) 429-0600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 1731971205 Utah

Profile Details

NPI number 1477655181
LBN Legal business name Blair, Tarlton J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Mar 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477655181 NPPES
Utah Other 36-00170 UNITED HEALTHCARE
Utah Other 62165 UNITED HEALTHCARE
Utah MEDICAID 870281028000 UNITED HEALTHCARE
Utah Other QM0000042299 UNITED HEALTHCARE
Utah Other 36531 UNITED HEALTHCARE
Utah Other 920006303 UNITED HEALTHCARE
Utah Other 107006675102 UNITED HEALTHCARE
Utah Other 870281028BTJ UNITED HEALTHCARE

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