TIMOTHY ICENOGLE, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Active
Individual
NPI: 1285683029
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Transplant Surgery | 204F00000X | No | MD00026659 (WA) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | Yes | 126770044-1205 (UT) |
Frequently Asked Questions
NPI 1285683029 is the National Provider Identifier for TIMOTHY ICENOGLE, MD, a Thoracic Surgery (Cardiothoracic Vascular Surgery) provider located in Ogden, UT. This NPI was enumerated on May 9, 2006.
TIMOTHY ICENOGLE, MD practices at 4403 HARRISON BLVD STE 3835, Ogden, UT 84403.
Quick Facts
- NPI
- 1285683029
- Type
- Individual
- Enumerated
- May 9, 2006
- Last Updated
- Dec 13, 2022
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