MEDICARE: KAREN A TORMEY M.D.

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
1	174400000X	Specialist	214243-1205	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	020049756	OTHER	UT	RAILROAD MEDICARE ID #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	077566	OTHER	UT	IHC ID NUMBER
2	17-90126	OTHER	UT	UHC ID #
4	5773304	OTHER	UT	AETNA ID NUMBER

General Provider Information

NPI Number	:	1316988793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN A TORMEY M.D.

Provider Business Mailing Address
First Line	:	515 S 300 E
Second Line	:	STE 107
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-3900
Country	:	US
Telephone Number	:	435-674-7262
Fax Number	:	435-674-5078

Provider Business Practice Location Address
First Line	:	515 S 300 E
Second Line	:	STE 107
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-3900
Country	:	US
Telephone Number	:	435-674-7262
Fax Number	:	435-674-5078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/31/2013

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Directions to “ KAREN A TORMEY M.D.” Practice Location

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