1285683029 Timothy Bock Icenogle, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Active
Basic Information
- Full Name
- Timothy Bock Icenogle, MD
- Gender
- Male
- Enumeration Date
- May 9, 2006
- Last Update
- December 13, 2022
Practice Location
- Address
- 4403 HARRISON BLVD STE 3835
OGDEN, UT 844033331 - Phone
- (801) 387-3475
- Fax
- (801) 387-3480
Mailing Address
- Address
- PO BOX 27128
SALT LAKE CITY, UT 841270128 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | Transplant Surgery | MD00026659 | WA | No |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | S9004 | TX | No |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD00026659 | WA | No |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 126770044-1205 | UT | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1072495 | 05 | WA | N/A |
| 3756900 | 05 | ID | N/A |
| 3505645 | 05 | MT | N/A |
Additional Practice Locations
3415 W Horizon Ave
Spokane, WA 992088493
Spokane, WA 992088493
Phone: (509) 220-1900
100 Hillcrest Medical Blvd
Waco, TX 767128897
Waco, TX 767128897
Phone: (254) 202-2000
Fax: (254) 202-5849
Digital Endpoints
DIRECT
ticenogle814231@direct.sw.org
Frequently Asked Questions
What is Timothy Bock Icenogle, MD's NPI number?
Timothy Bock Icenogle, MD's NPI number is 1285683029.
Which doctor has NPI number 1285683029?
The doctor with NPI number 1285683029 is Timothy Bock Icenogle, MD.
What is Timothy Bock Icenogle, MD's practice address?
Timothy Bock Icenogle, MD's practice address is 4403 HARRISON BLVD STE 3835, OGDEN, UT, 844033331.
Which doctor practices at 4403 HARRISON BLVD STE 3835, OGDEN, UT, 844033331?
Timothy Bock Icenogle, MD practices at 4403 HARRISON BLVD STE 3835, OGDEN, UT, 844033331.
What is Timothy Bock Icenogle, MD's mailing address?
Timothy Bock Icenogle, MD's mailing address is PO BOX 27128, SALT LAKE CITY, UT, 841270128.
What is Timothy Bock Icenogle, MD's phone number?
Timothy Bock Icenogle, MD's phone number is (801) 387-3475.
Who is (801) 387-3475?
(801) 387-3475 is the phone number for Timothy Bock Icenogle, MD.
What is Timothy Bock Icenogle, MD's specialty?
Timothy Bock Icenogle, MD's specialty is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician.
What type of doctor is Timothy Bock Icenogle, MD?
Timothy Bock Icenogle, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician.
Is Timothy Bock Icenogle, MD a Thoracic Surgery (Cardiothoracic Vascular Surgery)?
Yes, Timothy Bock Icenogle, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery).
Is Timothy Bock Icenogle, MD still practicing?
Yes, Timothy Bock Icenogle, MD is currently practicing.
Is Timothy Bock Icenogle, MD accepting new patients?
Timothy Bock Icenogle, MD may be accepting new patients. Please call their office at (801) 387-3475 to inquire about availability.
Is NPI 1285683029 still active?
Yes, NPI 1285683029 is currently active.
Where does Timothy Bock Icenogle, MD practice?
Timothy Bock Icenogle, MD practices in OGDEN, UT.
Is Timothy Bock Icenogle, MD a male or female doctor?
Timothy Bock Icenogle, MD is a male doctor.