Provider Demographics
NPI:1811235500
Name:KAREN A TORMEY MD PC
Entity Type:Organization
Organization Name:KAREN A TORMEY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMDINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-986-9369
Mailing Address - Street 1:1521 E 1800 S
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-6761
Mailing Address - Country:US
Mailing Address - Phone:435-674-7262
Mailing Address - Fax:435-674-5078
Practice Address - Street 1:1521 E 1800 S
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-6761
Practice Address - Country:US
Practice Address - Phone:435-674-7262
Practice Address - Fax:435-674-5078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT214243-1205208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty