Basic Information
| Provider Information | |||||||||
| NPI: | 1750341210 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CATON | ||||||||
| FirstName: | CHARLES | ||||||||
| MiddleName: | ALLEN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 30180 | ||||||||
| Address2: | |||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841300180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8013914527 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | RICHFIELD | ||||||||
| State: | UT | ||||||||
| PostalCode: | 847012061 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4358934100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2006 | ||||||||
| LastUpdateDate: | 12/29/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PE0004X | 149040-1205 | UT | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | Emergency Medical Services | 207Q00000X | 149040-1205 | UT | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.