Provider Demographics
NPI:1477661379
Name:AAGARD, ROBERT O (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:O
Last Name:AAGARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1248 E 90 N STE 300
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2956
Mailing Address - Country:US
Mailing Address - Phone:801-756-9635
Mailing Address - Fax:801-216-8357
Practice Address - Street 1:120 N 1220 E
Practice Address - Street 2:STE 7
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2089
Practice Address - Country:US
Practice Address - Phone:801-756-9635
Practice Address - Fax:801-756-8020
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3760601205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTF88163Medicare UPIN
UT000055129Medicare ID - Type Unspecified