Anna J Holman, MD | |
4745 S 3200 W, Taylorsville, UT 84129-2822 | |
(801) 964-6214 | |
(877) 497-4661 |
Full Name | Anna J Holman |
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Gender | Female |
Speciality | Family Medicine - Sports Medicine |
Location | 4745 S 3200 W, Taylorsville, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417480716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10957120-1205 (Utah) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 10957120-1205 (Utah) | Primary |
Entity Name | University Of Utah Community Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
Mailing Address | Practice Location Address |
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Anna J Holman, MD 1455 W 2200 S Ste 300, West Valley City, UT 84119-7219 Ph: (801) 412-6920 | Anna J Holman, MD 4745 S 3200 W, Taylorsville, UT 84129-2822 Ph: (801) 964-6214 |
Zorica Andrea Ljubic, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 019-646-2148 Fax: 877-497-4661 | |
Dr. Luke Joshua Heitz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2000 | |
Chad Alan Spain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3745 West 4700 South, Family Practice, Taylorsville, UT 84129 Phone: 801-840-2100 | |
Faryal Turtle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2000 Fax: 801-840-2179 | |
Michelle L Winter, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2100 | |
Krystal G Bramwell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 019-646-2148 Fax: 877-497-4661 | |
Jessica Petrovich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 801-964-6214 Fax: 877-497-4661 |