Dr Leon E Paulos, MD | |
324 10th Ave, Suite 175, Salt Lake City, UT 84103-2853 | |
(801) 408-8123 | |
(801) 408-8124 |
Full Name | Dr Leon E Paulos |
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Gender | Male |
Speciality | Orthopaedic Surgery - Sports Medicine |
Location | 324 10th Ave, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992700330 | NPI | - | NPPES |
592-02754 | Other | AL | BLUE CROSS BLUE SHIELD |
53250 | Other | FL | BLUE CROSS BLUE SHIELD |
000725800 | Medicaid | FL |
Entity Name | Physician Group Of Utah Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
Mailing Address | Practice Location Address |
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Dr Leon E Paulos, MD 324 10th Ave, Suite 175, Salt Lake City, UT 84103-2853 Ph: (801) 408-8123 | Dr Leon E Paulos, MD 324 10th Ave, Suite 175, Salt Lake City, UT 84103-2853 Ph: (801) 408-8123 |
Cameron R. Guy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Benjamin Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 82 S 1100 E Ste 303, Salt Lake City, UT 84102 Phone: 801-533-2002 Fax: 801-323-9546 | |
Chrystina James, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Thomas D. Bauman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8163 Fax: 801-355-4011 | |
Jaclyn Aleksandra Konopka, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
Kayla L. Gates, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 S Wakara Way, Salt Lake City, UT 84108 Phone: 801-587-5448 | |
Jeffrey D Jackson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124 Phone: 801-261-7479 Fax: 801-261-7429 |