Healthcare Provider Details

I. General information

NPI: 1497726368
Provider Name (Legal Business Name): JOSEPH ARNOLD KAUFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 10/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N. MAIN ST. SUITE #206
CEDAR CITY UT
84720
US

IV. Provider business mailing address

1173 S PANORAMA DR
CEDAR CITY UT
84720-6204
US

V. Phone/Fax

Practice location:
  • Phone: 702-480-5253
  • Fax: 702-320-3849
Mailing address:
  • Phone: 702-480-5253
  • Fax: 702-320-3849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number3572
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number10728700-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: