Doctor Name: | EDDIE C IORG |
NPI Number: | 1033120779 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 273900-1205 |
Business Practice Address: | 9660 S 1300 E Sandy, UT - 840943762 |
Business Phone Number: | 8012692500 |
Business Fax Number: | 8012692690 |
Mailing Address: | Po Box 30180, SALT LAKE CITY |
State: | UT |
Postal Code: | 841300180 |
Phone Number: | 8012692500 |
Fax Number: | 8012692690 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 273900-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |