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NPI Code Detail

MEDICARE: ROBERT WELKER MD, PC

MEDICARE: ROBERT WELKER MD, PC
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
1261QH0100XHealth Service Clinic/Center1768961205UT

General Provider Information

NPI Number : 1073765210
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT WELKER MD, PC
Provider Business Mailing Address
First Line : 195 W TELEGRAPH ST
Second Line :
City : WASHINGTON
State : UT
Zip : 84780-1675
Country : US
Telephone Number : 435-268-4444
Fax Number : 435-268-4447
Provider Business Practice Location Address
First Line : 195 W TELEGRAPH ST
Second Line :
City : WASHINGTON
State : UT
Zip : 84780-1675
Country : US
Telephone Number : 435-268-4444
Fax Number : 435-268-4447
Authorized Official
Title or Position : PHYSICIAN
Name : ROBERT W WELKER
Credential : MD
Telephone Number : 435-628-4444
Provider Enumeration Date : 10/21/2008
Last Update Date : 10/29/2008

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