Provider Demographics
NPI:1023251089
Name:ALAN T. RAPPLEYE, M.D., P.C.
Entity type:Organization
Organization Name:ALAN T. RAPPLEYE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-261-3605
Mailing Address - Street 1:3970 S 700 E
Mailing Address - Street 2:SUITE 14
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2191
Mailing Address - Country:US
Mailing Address - Phone:801-261-3605
Mailing Address - Fax:801-262-9142
Practice Address - Street 1:3970 S 700 E
Practice Address - Street 2:SUITE 14
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2191
Practice Address - Country:US
Practice Address - Phone:801-261-3605
Practice Address - Fax:801-262-9142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT529645372008Medicaid
UTC63414Medicare UPIN