Provider Demographics
NPI:1306941281
Name:LATIMER, DARIN H (DO)
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:H
Last Name:LATIMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-4218
Mailing Address - Country:US
Mailing Address - Phone:435-637-4800
Mailing Address - Fax:435-636-4866
Practice Address - Street 1:300 N HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-4218
Practice Address - Country:US
Practice Address - Phone:435-637-4800
Practice Address - Fax:435-636-4866
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5579003-1204207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT856035OtherDESERET MUTUAL
UTQM0000076612OtherALTIUS
UT2000575OtherUNITED HEALTH
UT88978OtherHEALTHY U
UT107032207101OtherIHC
UT78540OtherPEHP
UTI13732Medicare UPIN
UTP00176125Medicare ID - Type UnspecifiedRAILROAD MEDICARE