Dan Garvin, MD | |
590 E 100 N Ste 6, Price, UT 84501 | |
(435) 637-1100 | |
(435) 636-7040 |
Full Name | Dan Garvin |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 590 E 100 N Ste 6, Price, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316385495 | NPI | - | NPPES |
13163854965 | Medicaid | UT | |
U000095437 | Other | UT | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R-9721 (Iowa) | Secondary |
208000000X | Pediatrics | 9687295-1205 (Utah) | Primary |
Entity Name | Castleview Physician Practice, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013364884 PECOS PAC ID: 6305995598 Enrollment ID: O20090518000607 |
Entity Name | University Of Utah Community Physicians Group |
---|---|
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 |
---|---|
Dan Garvin, MD 330 Seven Springs Way, Brentwood, TN 37027-5098 Ph: (615) 920-7723 | Dan Garvin, MD 590 E 100 N Ste 6, Price, UT 84501 Ph: (435) 637-1100 |
Paul Anthony Thayn, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 945 W Hospital Dr Ste 4, Price, UT 84501 Phone: 435-650-5993 | |
Dr. Ada Vanvloten, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 70 W Main St, Price, UT 84501 Phone: 435-637-7100 Fax: 435-637-7101 |