Dr Melinda Sue Liddle, MD | |
9720 S 1300 E Ste 100, Sandy, UT 84094-3712 | |
(801) 501-9933 | |
Not Available |
Full Name | Dr Melinda Sue Liddle |
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Gender | Female |
Speciality | Pediatrics |
Location | 9720 S 1300 E Ste 100, Sandy, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467607135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 7148502-1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Dr Melinda Sue Liddle, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 501-9933 | Dr Melinda Sue Liddle, MD 9720 S 1300 E Ste 100, Sandy, UT 84094-3712 Ph: (801) 501-9933 |
Tiffany S Glasgow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9720 S 1300 E, #100, Sandy, UT 84094 Phone: 801-571-8550 | |
Dale Mark Valentine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9500 S 1300 E, Sandy, UT 84094 Phone: 801-501-2100 | |
Richard K Strong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9720 S 1300 E, #100, Sandy, UT 84094 Phone: 801-571-8550 | |
Cynthia L Coor, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10011 S Centennial Pkwy Ste 350, Sandy, UT 84070 Phone: 801-566-5350 | |
Andrea P Edwards, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9450 S 1300 E, Sandy, UT 84094 Phone: 801-501-9933 Fax: 801-571-1689 | |
Dr. David Nils Lofgren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1434 E 9400 S, Suite 100, Sandy, UT 84093 Phone: 801-572-9369 Fax: 801-572-9677 | |
John Robert Shakula, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9720 S 1300 E, W120, Sandy, UT 84094 Phone: 801-571-0423 Fax: 801-571-0081 |