HomeNPI Verification

NPI Verification

National Provider Identifier: 1740635556

Ethan Patrick Baham, DO

Individual Provider

Credentials

DO

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

2121 N 1700 W

LAYTON, UT 840418803

Phone: 801-773-4840

NPI Enumeration Date

April 29, 2016

NPI Number

1740635556

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Ethan Baham, DO - NPI 1740635556 | Provider Verification | HormoneMap