Devan Partridge, DO | |
1055 N 300 W Ste 316, Provo, UT 84604-3373 | |
(801) 262-7246 | |
Not Available |
Full Name | Devan Partridge |
---|---|
Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 1055 N 300 W Ste 316, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427541051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 5907189-1204 (Utah) | Primary |
207LA0401X | Anesthesiology - Addiction Medicine | 94-09463 (Kansas) | Secondary |
Entity Name | Interventional Spine & Pain Management |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609204338 PECOS PAC ID: 6204065162 Enrollment ID: O20140219000458 |
Mailing Address | Practice Location Address |
---|---|
Devan Partridge, DO 1055 N 300 W Ste 316, Provo, UT 84604-3373 Ph: (801) 262-7246 | Devan Partridge, DO 1055 N 300 W Ste 316, Provo, UT 84604-3373 Ph: (801) 262-7246 |
Richard M Rosenthal, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 3585 N University Ave Ste 150, Provo, UT 84604 Phone: 801-356-6100 Fax: 801-356-2113 | |
Dr. Tao Li, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 3585 N University Ave, Ste #150, Provo, UT 84604 Phone: 801-356-6100 Fax: 801-356-2113 | |
Dr. J Riley Stringham, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 River Park Dr, #200, Provo, UT 84604 Phone: 801-223-4860 Fax: 801-371-8993 |