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NPI Code Detail

MEDICARE: DR. JAMES G HOWARD MD

MEDICARE: DR. JAMES G HOWARD 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
1207W00000XOphthalmology Physician36111IA
2207W00000XOphthalmology Physician6545547-1205UT
3207WX0107XRetina Specialist (Ophthalmology) Physician6545547-1205UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1870525682OTHERTAX ID #

General Provider Information

NPI Number : 1033110119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES G HOWARD MD
Provider Business Mailing Address
First Line : 5169 COTTONWOOD ST STE 630
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-6771
Country : US
Telephone Number : 801-312-2020
Fax Number : 801-312-2022
Provider Business Practice Location Address
First Line : 5169 COTTONWOOD ST STE 630
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-6771
Country : US
Telephone Number : 801-312-2020
Fax Number : 801-312-2022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 02/05/2018

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