Dr James B Davis, MD | |
2655 W 9000 S, West Jordan, UT 84088-8542 | |
(801) 568-9933 | |
(801) 256-6344 |
Full Name | Dr James B Davis |
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Gender | Male |
Speciality | Pediatrics |
Location | 2655 W 9000 S, 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 |
---|---|---|---|
1780905083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 245512 (Massachusetts) | Secondary |
208000000X | Pediatrics | MD60747018 (Washington) | Primary |
208000000X | Pediatrics | 8692257-1205 (Utah) | Secondary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Dr James B Davis, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (401) 226-8651 | Dr James B Davis, MD 2655 W 9000 S, West Jordan, UT 84088-8542 Ph: (801) 568-9933 |
Dr. Kevin B Lash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9071 S 1300 W, #301, West Jordan, UT 84088 Phone: 801-565-1162 Fax: 801-565-1168 | |
Mr. Joseph L Kingston, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 6933 S 1300 W, West Jordan, UT 84084 Phone: 801-327-8707 Fax: 801-748-0423 | |
Dr. Joshua Brent Maxwell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8822 S Redwood Rd Ste C211, West Jordan, UT 84088 Phone: 801-563-1975 | |
Dr. Leslie L Goodwin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9071 S 1300 W, #301, West Jordan, UT 84088 Phone: 801-565-1162 Fax: 801-565-1168 | |
Dr. Darin G Bosworth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9071 S 1300 W, #301, West Jordan, UT 84088 Phone: 801-565-1162 Fax: 801-565-1168 | |
Dr. Holly Molberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8822 Redwood Rd, C-211, West Jordan, UT 84088 Phone: 801-563-1975 Fax: 801-563-1984 | |
Dr. Pari Mashkuri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8822 Redwood Rd, C-211, West Jordan, UT 84088 Phone: 801-563-1975 Fax: 801-563-1984 |