Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY BOCK ICENOGLE, MD
ActiveTIMOTHY BOCK ICENOGLE, MD is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in OGDEN, Utah. NPI 1285683029 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · OGDEN, UT
Registration Details
- NPI Number
- 1285683029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2006 (20.286625851414 yrs)
- Last Updated
- Dec 13, 2022
- Licenses
-
MD00026659 (WA)S9004 (TX)MD00026659 (WA)126770044-1205 (UT)
Practice Information
- Address
-
4403 HARRISON BLVD STE 3835OGDEN, UT, 844033331Browse UT providers · Browse ZIP 84403
- Phone
- 8013873475
- Fax
- 8013873480
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in OGDEN, UT
| Name | Credential | NPI |
|---|---|---|
| ROBERT F ZINK | MD | 1922067651 |
| DR. ALBERT STEVEN CAIN | MD | 1609984863 |
| DR. DAVID R GOFF | MD | 1255449351 |
| DR. JOSEPH E GRAHAM | MD | 1578638383 |
| ABHISHEK KRISHNA KASHYAP | M.D. | 1952749111 |
| DEVIN ROBERT RIGG | MD | 1891216602 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.