person
Jose Perez Tamayo, MD
Diagnostic Radiology Physician in Bountiful, Utah
NPI 1093761264

Jose Perez Tamayo is a Diagnostic Radiology Physician based in Bountiful, UT and is specialized in Diagnostic Radiology. Jose Perez Tamayo practices in Bountiful, UT and has the professional credentials of MD. The NPI Number for Jose Perez Tamayo is 1093761264 and holds a License No. 7197358-1205 (Utah).

The current practice location address for Jose Perez Tamayo is 380 N 200 W, Bountiful, UT and can be reached out via phone at 801-298-1300 and via fax at 801-296-6199. You can also correspond with Jose Perez Tamayo through the mailing address at 380 N 200 W, BOUNTIFUL, UT - 84010-7079 (mailing address contact number: 801-298-1300).

Location: 380 N 200 W, Bountiful, UT, 84010-7079
person
Provider Profile Details
NPI Number
1093761264
Provider Name
Jose Perez Tamayo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
380 N 200 W, Bountiful, UT, 84010-7079
Phone Number
801-298-1300
Fax Number
801-296-6199
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10937612601001 01 UT BLUE CROSS AND BLUE SHIELD OF UTAH
107072555101 01 UT SELECTHEALTH
1093761264 01 UT UNIVERSITY OF UTAH HEALTH PLANS
10937612600001 01 UT BLUE CROSS AND BLUE SHIELD OF UTAH
036092616 05 IL
P00681087 01 UT RR MEDICARE
P00684779 01 UT RR MEDICARE
107072555102 01 UT SELECTHEALTH
1003172 01 UT DESERET MUTUAL BENEFIT ADMINISTRATORS
institution
Provider Business Practice Location Address Details
Address
380 N 200 W
City
State
Zip
84010-7079
Phone Number
801-298-1300
Fax Number
801-296-6199
person
Provider Business Mailing Address Details
Address
380 N 200 W
City
State
Zip
84010-7079
Phone Number
801-298-1300
Fax Number
801-296-6199
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
7197358-1205 (Utah)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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