Dr Braden Tucker, | |
1034 N 500 W, Provo, UT 84604-3380 | |
(801) 357-7850 | |
Not Available |
Full Name | Dr Braden Tucker |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1034 N 500 W, 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 |
---|---|---|---|
1851853477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 64749 (Arizona) | Secondary |
207P00000X | Emergency Medicine | 12659892-1205 (Utah) | Primary |
Entity Name | Moab Valley Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20040114000346 |
Entity Name | Utah Valley Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649204553 PECOS PAC ID: 2860390879 Enrollment ID: O20040727000274 |
Entity Name | Moab Valley Healthcare Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1770513236 PECOS PAC ID: 2466361720 Enrollment ID: O20061104000120 |
Mailing Address | Practice Location Address |
---|---|
Dr Braden Tucker, 551 Dutch Ridge Ct, Midway, UT 84049-6979 Ph: (760) 703-1017 | Dr Braden Tucker, 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7850 |
Adam R Krommenhoek, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Dr. Christopher Nathan Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Craig P Patten, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 North 500 West, Provo, UT 84604 Phone: 801-373-7850 | |
Robert D Christensen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Andrew Pressman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Mr. Tanner Lee Frey, PHYSICIAN ASSISTANT Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-358-1076 | |
Dr. Cameron Royall, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-362-4119 |