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NPI Code Detail

MEDICARE: CAROLYN A BELFRY MD

MEDICARE: CAROLYN A BELFRY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician360992-1205UT

General Provider Information

NPI Number : 1417944083
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN A BELFRY MD
Provider Business Mailing Address
First Line : PO BOX 5546
Second Line :
City : DENVER
State : CO
Zip : 80217-5546
Country : US
Telephone Number : 801-475-3600
Fax Number : 801-475-3601
Provider Business Practice Location Address
First Line : 1100 W 2700 N
Second Line :
City : PLEASANT VIEW
State : UT
Zip : 84404-4791
Country : US
Telephone Number : 801-475-3600
Fax Number : 801-475-3601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 01/17/2017

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Directions to “ CAROLYN A BELFRY MD” Practice Location

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