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NPI Code Detail

MEDICARE: DR. CLINTON JOSEPH THURBER M.D.

MEDICARE: DR. CLINTON JOSEPH THURBER 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
1207RC0001XClinical Cardiac Electrophysiology Physician14236910-1205UT
2207RC0001XClinical Cardiac Electrophysiology PhysicianM-16531ID

General Provider Information

NPI Number : 1467862573
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLINTON JOSEPH THURBER M.D.
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4403 HARRISON BLVD STE 3450
Second Line :
City : OGDEN
State : UT
Zip : 84403-3282
Country : US
Telephone Number : 801-387-3850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2014
Last Update Date : 11/24/2025

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