MEDICARE: TODD GLENDON CALL 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	207L00000X	Anesthesiology Physician	47868	MN

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	:	1679559173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD GLENDON CALL M.D.

Provider Business Mailing Address
First Line	:	3340 NORTH CENTER ST
Second Line	:	#800
City	:	LEHI
State	:	UT
Zip	:	84043-7406
Country	:	US
Telephone Number	:	801-990-1911
Fax Number	:

Provider Business Practice Location Address
First Line	:	1034 NORTH 500 WEST
Second Line	:	UTAH VALLEY REGIONAL MEDICAL CENTER
City	:	PROVO
State	:	UT
Zip	:	84604
Country	:	US
Telephone Number	:	801-507-5248
Fax Number	:

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

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	10/15/2012

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