MEDICARE: DR. ALAN T RAPPLEYE 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	207V00000X	Obstetrics & Gynecology Physician	0519110017	UT

General Provider Information

NPI Number	:	1568431575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN T RAPPLEYE M.D.

Provider Business Mailing Address
First Line	:	3970 S 700 E
Second Line	:	SUITE 14
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-2191
Country	:	US
Telephone Number	:	801-261-3975
Fax Number	:	801-262-9142

Provider Business Practice Location Address
First Line	:	3970 S 700 E
Second Line	:	SUITE 14
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-2191
Country	:	US
Telephone Number	:	801-261-3975
Fax Number	:	801-262-9142

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	03/15/2026

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