Dana A Andersen, MD | |
2751 W 9000 South, West Jordan, UT 84088 | |
(801) 352-5900 | |
(801) 352-5914 |
Full Name | Dana A Andersen |
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Gender | Male |
Speciality | Family Medicine |
Location | 2751 W 9000 South, 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 |
---|---|---|---|
1578595724 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1719651205 (Utah) | Primary |
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 |
Mailing Address | Practice Location Address |
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Dana A Andersen, MD 3725 W 4100 S, West Valley City, UT 84120 Ph: (801) 965-3600 | Dana A Andersen, MD 2751 W 9000 South, West Jordan, UT 84088 Ph: (801) 352-5900 |
Zachary John Hansen, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-965-3600 | |
Suzan Marie Curtis, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1829 W 7600 S Apt G202, West Jordan, UT 84084 Phone: 801-608-5195 | |
Maria A Oneida, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3570 W 9000 S, Ste 200, West Jordan, UT 84088 Phone: 801-566-9211 Fax: 801-566-5667 | |
James S Coy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2751 W 9000 S, West Jordan, UT 84088 Phone: 801-352-5900 Fax: 801-352-5914 | |
Eric R. Grover, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-352-5900 Fax: 801-352-5914 | |
Michael J Sanderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 W 9000 S, West Jordan, UT 84088 Phone: 801-965-3600 | |
Maurine M. Cobabe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2655 W 9000 S, West Jordan, UT 84088 Phone: 801-256-6343 |