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NPI Code Detail

MEDICARE: ALLEN OBLAD NAYLOR MD

MEDICARE: ALLEN OBLAD NAYLOR 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
1208M00000XHospitalist Physician182636-1205UT
2207Q00000XFamily Medicine Physician182636-1205UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01558690-DV5339OTHERUTRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295970804
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN OBLAD NAYLOR MD
Provider Business Mailing Address
First Line : PO BOX 3299
Second Line :
City : CARSON CITY
State : NV
Zip : 89702
Country : US
Telephone Number : 844-207-4039
Fax Number : 775-222-0056
Provider Business Practice Location Address
First Line : 5505 S 900 E STE 240
Second Line :
City : MURRAY
State : UT
Zip : 84117-7210
Country : US
Telephone Number : 801-783-5011
Fax Number : 801-746-3734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2008
Last Update Date : 07/17/2017

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Directions to “ ALLEN OBLAD NAYLOR MD” Practice Location

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