Brandon Childs, MD | |
3181 W 9000 S, West Jordan, UT 84088-5610 | |
(801) 965-3600 | |
Not Available |
Full Name | Brandon Childs |
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Gender | Male |
Speciality | Urology |
Location | 3181 W 9000 S, West Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659721199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 12658136-1205 (Utah) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 266333 (Massachusetts) | Secondary |
Entity Name | Granger Medical Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
Entity Name | Granger Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
Mailing Address | Practice Location Address |
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Brandon Childs, MD 7181 S Campus View Dr Ste 200, West Jordan, UT 84084-4312 Ph: (801) 965-3505 | Brandon Childs, MD 3181 W 9000 S, West Jordan, UT 84088-5610 Ph: (801) 965-3600 |
Dr. Joshua David Holyoak, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-965-3600 | |
Dr. Michael Roy Mcfadden Sr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3584 West 9000 South, Suite 401, West Jordan, UT 84088 Phone: 801-566-0204 |