TIMOTHY ICENOGLE, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · OGDEN, UT

Individual Active NPI 1285683029

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician208G00000X126770044-1205UT
Transplant Surgery Physician204F00000XMD00026659WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician208G00000XS9004TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician208G00000XMD00026659WA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.