Perez Tamayo, Jose

Perez Tamayo, Jose is an individual health care provider with primary practice located at 380 N 200 W Suite 209, Bountiful UT 84010-7079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Perez Tamayo, Jose can be contacted via phone (801) 298-1300.

Contact Information

Primary practice address
380 N 200 W Suite 209 Bountiful UT 84010-7079
Phone: (801) 298-1300
Fax: (801) 296-6199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 7197358-1205 Utah

Profile Details

NPI number 1093761264
LBN Legal business name Perez Tamayo, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 10th, 2010 - about 16 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 1093761264 NPPES
Utah Other 10937612601001 BLUE CROSS AND BLUE SHIELD OF UTAH
Utah Other 107072555101 BLUE CROSS AND BLUE SHIELD OF UTAH
Utah Other 1093761264 BLUE CROSS AND BLUE SHIELD OF UTAH
Utah Other 10937612600001 BLUE CROSS AND BLUE SHIELD OF UTAH
Utah MEDICAID 036092616 BLUE CROSS AND BLUE SHIELD OF UTAH
Utah Other P00681087 BLUE CROSS AND BLUE SHIELD OF UTAH
Utah Other P00684779 BLUE CROSS AND BLUE SHIELD OF UTAH
Utah Other 107072555102 BLUE CROSS AND BLUE SHIELD OF UTAH
Utah Other 1003172 BLUE CROSS AND BLUE SHIELD OF UTAH

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