Timothy Bock Icenogle, MD
Timothy Bock Icenogle, MD is a Transplant Surgery Physician in Ogden, Utah. Works from 3 locations. Licensed in Texas, Utah and Washington.
- Licensed in
- TX, UT, WA
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4403 Harrison Blvd Ste 3835Ogden, UT 84403-3331
Phone: (801) 387-3475
Fax: (801) 387-3480
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 — (254) 202-2000
- 3415 W Horizon Ave, Spokane, WA 99208-8493 — (509) 220-1900
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence 126770044-1205 (UT) |
|---|---|
| Transplant Surgery Physician | Taxonomy 204F00000X · Licence MD00026659 (WA) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence S9004 (TX) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence MD00026659 (WA) |
Record details
| NPI number | 1285683029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 9, 2006 |
| Last updated in NPPES | December 13, 2022 |
| Certification date | December 13, 2022 |