Tarlton J Blair, MD | |
1055 N 500 W, Suite 102 Building C, Provo, UT 84604-3305 | |
(801) 374-2367 | |
(801) 429-0600 |
Full Name | Tarlton J Blair |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 1055 N 500 W, Provo, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477655181 | NPI | - | NPPES |
36-00170 | Other | UT | UNITED HEALTHCARE |
62165 | Other | UT | PEHP |
870281028000 | Medicaid | UT | |
QM0000042299 | Other | UT | ALTIUS |
36531 | Other | UT | DMBA |
920006303 | Other | UT | PALMETTO |
107006675102 | Other | UT | IHC |
870281028BTJ | Other | UT | EMIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 1731971205 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tarlton J Blair, MD 1055 N 500 W, Suite 102 Building C, Provo, UT 84604-3305 Ph: (801) 374-2367 | Tarlton J Blair, MD 1055 N 500 W, Suite 102 Building C, Provo, UT 84604-3305 Ph: (801) 374-2367 |
Dr. Daniel Lyman Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-225-6246 Fax: 801-225-1525 | |
Samuel Lynn Southam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 801-357-7626 | |
Scott D Valadez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
Mark S Asay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Dr. Derek Scott Bergeson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Phone: 801-354-8225 Fax: 801-418-0941 | |
Dalton H Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 112, Provo, UT 84604 Phone: 801-812-4624 Fax: 801-812-4699 | |
Justin Marshall, Radiology Medicare: Medicare Enrolled Practice Location: 1055 N 300 W Ste 104, Provo, UT 84604 Phone: 801-379-6700 Fax: 801-225-1525 |