Glenn Hunter Thompson, DC | |
1244 N Main St, Suite100, Tooele, UT 84074-9838 | |
(435) 833-9200 | |
(435) 833-9223 |
Full Name | Glenn Hunter Thompson |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 33 Years |
Location | 1244 N Main St, Tooele, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407830953 | NPI | - | NPPES |
870395551005 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 17-6239-1202 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tooele Valley Spine Center | 5294633772 | 2 |
Provider Name | Tooele Valley Spine Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861534356 PECOS PAC ID: 5294633772 Enrollment ID: O20031222000398 |
Mailing Address | Practice Location Address |
---|---|
Glenn Hunter Thompson, DC 1244 N Main St, Tooele, UT 84074-9839 Ph: (435) 833-9200 | Glenn Hunter Thompson, DC 1244 N Main St, Suite100, Tooele, UT 84074-9838 Ph: (435) 833-9200 |
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