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NPI Code Detail

MEDICARE: COREY BARGER MD

MEDICARE: COREY BARGER 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
12084P0800XPsychiatry Physician12058330-8905UT
2390200000XStudent in an Organized Health Care Education/Training ProgramNM

General Provider Information

NPI Number : 1053844258
Entity Type Code : Individual
Provider Name (Legal Business Name) : COREY BARGER MD
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-598-1189
Fax Number :
Provider Business Practice Location Address
First Line : 1034 N 500 W
Second Line :
City : PROVO
State : UT
Zip : 84604-3380
Country : US
Telephone Number : 801-357-7850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2017
Last Update Date : 04/16/2026

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