Search › Utah › Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Timothy Icenogle, MD
NPI 1285683029 · on the registry since 2006
Practice
- Address
- 4403 Harrison Blvd Ste 3835
Ogden, UT 84403 - Phone
- (801) 387-3475
- Fax
- (801) 387-3480
- Organisation at this address
- Heart Of Utah P.C.
Corey D Anden Md Pc
Vicki J Lyons Md Pc
Brian W Heaton Md Pc
Utah Spine Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 279
Additional practice sites
- 3415 W Horizon Ave, Spokane, WA
- 100 Hillcrest Medical Blvd, Waco, TX
Registry record
- Primary taxonomy
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
208G00000X
- Also registered as
- Transplant Surgery Physician
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician - Licence states on file
- WA, TX, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah