NPI 1154755452

Mitchell Douglas Barneck

Practitioner Emergency Medicine Physician Ogden, UT

Practice location

Address: 4401 Harrison Blvd, Ogden, UT 84403-3195
Phone: (801) 387-7000
Mailing address: 5171 S Cottonwood St STE 740, Murray, UT 84107-5705

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 12724599-1205 (UT)

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Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 12724599-1205 (MN)

Registry record

NPI: 1154755452
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2013
Record last updated: 28 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.