NPI 1487042008 · live from the CMS NPI Registry
Alexej Barg, M.D.
Orthopaedic Surgery in Salt Lake City, UT. National Provider Identifier 1487042008, active.
NPI record
| NPI | 1487042008 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 590 S Wakara Way, Salt Lake City, UT 84108 |
| Practice phone | 801-587-7445 |
| Mailing address | 127 S 500 E, Suite 600, Salt Lake City, UT 84102 |
| Enumerated | January 5, 2015 |
| Last updated | September 22, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | 1234567-1205 (UT) |
| Orthopaedic Surgery primary | 207X00000X | 9288037-1252 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.