Brent Shepherd, MD | |
391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 | |
(801) 581-4800 | |
Not Available |
Full Name | Brent Shepherd |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 391 S Chipeta Way Ste C, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770946998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 10421634-1205 (Utah) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Brent Shepherd, MD 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 Ph: (801) 581-4800 | Brent Shepherd, MD 391 S Chipeta Way Ste C, Salt Lake City, UT 84108-1294 Ph: (801) 581-4800 |
Dr. Harriet W Hopf, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, U Of U Department Of Anesthesiology, Salt Lake City, UT 84158 Phone: 801-581-6393 Fax: 801-581-4367 | |
Mrs. Alice Dowling, M.D., M.P.H. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3837 E Sunnydale Ln, Salt Lake City, UT 84108 Phone: 801-583-0544 | |
Tran Nam Le, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111 Phone: 801-581-3841 | |
Dr. James R. Saullo, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 250 E 200 S Rm 1202, Salt Lake City, UT 84111 Phone: 801-581-3841 | |
Dr. Mark Vernon Anderson, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2390 S Redwood Rd, Salt Lake City, UT 84119 Phone: 801-975-1600 Fax: 801-975-1666 | |
Dr. Matthew Adams Hughes, M.D., M.P.H Preventive Medicine Medicare: Medicare Enrolled Practice Location: 391 Chipeta Way Ste C, Salt Lake City, UT 84108 Phone: 801-581-8719 Fax: 801-581-7224 | |
Letitia P. Archuleta, M.D., M.P.H. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2390 S Redwood Rd, Salt Lake City, UT 84119 Phone: 801-975-1600 Fax: 801-975-1666 |