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1740278183

NPI Code Detail

MEDICARE: ROBERT W WELKER M.D.

MEDICARE: ROBERT W WELKER 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	207Q00000X	Family Medicine Physician	1768961205	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00315542	OTHER	UT	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5950150	OTHER	UT	AETNA
2	76896120500001	OTHER	UT	BLUE CROSS/BLUE SHIELD
3	292798	OTHER	UT	DESERET MUTUAL BENEFIT AS
4	870680102	OTHER	UT	UNITED HEALTH CARE
6	11033825	OTHER	UT	CIGNA
7	107009756101	OTHER	UT	SELECTHEALTH
8	11033825	OTHER	UT	UNITED AMERICAN
9	76896120500001	OTHER	UT	BLUE CROSS FED
10	870680102	OTHER	UT	MAILHANDLER
11	88198	OTHER	UT	PUBLIC EMPLOYEE HEALTH PL
12	C98260	OTHER	UT	TRICARE
13	870680102	OTHER	UT	EDUCATOR'S HEALTH CARE

General Provider Information

NPI Number	:	1740278183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT W WELKER M.D.

Provider Business Mailing Address
First Line	:	195 W TELEGRAPH ST
Second Line	:
City	:	WASHINGTON
State	:	UT
Zip	:	84780-1675
Country	:	US
Telephone Number	:	435-628-4444
Fax Number	:	435-628-4447

Provider Business Practice Location Address
First Line	:	195 W TELEGRAPH ST
Second Line	:
City	:	WASHINGTON
State	:	UT
Zip	:	84780-1675
Country	:	US
Telephone Number	:	435-628-4444
Fax Number	:	435-628-4447

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	10/29/2008

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Directions to “ ROBERT W WELKER M.D.” Practice Location

Language	Start Address	Practice Location

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