Dr Chad Brigham Kimball, MD | |
1145 Quail Summit Dr, Provo, UT 84604 | |
(801) 556-2289 | |
(801) 691-0969 |
Full Name | Dr Chad Brigham Kimball |
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Gender | Male |
Speciality | Internal Medicine - Addiction Medicine |
Location | 1145 Quail Summit Dr, 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 |
---|---|---|---|
1629247358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 68514421205 (Utah) | Secondary |
207RA0401X | Internal Medicine - Addiction Medicine | 68514421205 (Utah) | Primary |
Entity Name | Mobile Mbs Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477887859 PECOS PAC ID: 0042357527 Enrollment ID: O20120508000730 |
Mailing Address | Practice Location Address |
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Dr Chad Brigham Kimball, MD 1145 Quail Summit Dr, Provo, UT 84604-5277 Ph: (801) 556-2289 | Dr Chad Brigham Kimball, MD 1145 Quail Summit Dr, Provo, UT 84604 Ph: (801) 556-2289 |
Dr. Christopher Gordon, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 745 N 500 W Ste 200, Provo, UT 84601 Phone: 801-375-9292 Fax: 801-375-9290 | |
Daniel N. Bennett, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 Phone: 801-373-4366 | |
Dr. Christopher Ryan Lew, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-960-7558 | |
Albert Rivero, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1134 N 500 W Ste 101, Provo, UT 84604 Phone: 801-357-8310 | |
Dr. Wenshu Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 N University Ave Ste 150, Provo, UT 84604 Phone: 801-818-1940 Fax: 801-818-1945 | |
William T. Stephenson Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 103, Provo, UT 84604 Phone: 801-357-8200 Fax: 801-357-8201 | |
Gregory E Craner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Suite 100 Bldg B, Provo, UT 84604 Phone: 801-374-1268 Fax: 801-429-8041 |