Daniel M Sandgren, DO | |
1350 N 500 E, Logan, UT 84341-2400 | |
(435) 792-1940 | |
Not Available |
Full Name | Daniel M Sandgren |
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Gender | Male |
Speciality | Pediatrics |
Location | 1350 N 500 E, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669714341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 9681578-1204 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Daniel M Sandgren, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Daniel M Sandgren, DO 1350 N 500 E, Logan, UT 84341-2400 Ph: (435) 792-1940 |
Nordell T Brown, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1940 | |
Russel T Mckenna, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1325 N 600 E Ste 101, Logan, UT 84341 Phone: 435-750-5599 Fax: 435-750-0861 | |
Prafulla Martin-garg, MD, FAAP Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1940 | |
Scott D Dickson, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1820 Fax: 435-716-1693 | |
John Dennis Odell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1940 | |
Cason James Wortley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2245 N 400 E Ste 202, Logan, UT 84341 Phone: 435-753-7337 |