MEDICARE: MICHAEL W VARNER 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
1	207V00000X	Obstetrics & Gynecology Physician	176815-1205	UT
2	207VG0400X	Gynecology Physician	176815-1205	UT
3	207VM0101X	Maternal & Fetal Medicine Physician	176815-1205	UT
4	207VX0000X	Obstetrics Physician	176815-1205	UT

Other Identifiers

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

General Provider Information

NPI Number	:	1396783486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL W VARNER MD

Provider Business Mailing Address
First Line	:	30 N 1900 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-0002
Country	:	US
Telephone Number	:	801-581-3834
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 N 1900 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-0002
Country	:	US
Telephone Number	:	801-581-3834
Fax Number	:

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/19/2012

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Directions to “ MICHAEL W VARNER MD” Practice Location

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