Healthcare Provider Details

I. General information

NPI: 1619932761
Provider Name (Legal Business Name): ANDREW P. TALBOTT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1716 N HIGHWAY 40 STE 201
HEBER CITY UT
84032-4677
US

IV. Provider business mailing address

PO BOX 912042
SAINT GEORGE UT
84791-2042
US

V. Phone/Fax

Practice location:
  • Phone: 435-709-4202
  • Fax:
Mailing address:
  • Phone: 435-656-2424
  • Fax: 435-656-2828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number6353467-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: