Dr Randy Roy Lundell, DO | |
954 N 200 E Ste 954, Spanish Fork, UT 84660-1247 | |
(801) 504-6117 | |
(801) 504-6328 |
Full Name | Dr Randy Roy Lundell |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 954 N 200 E Ste 954, Spanish Fork, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336239888 | NPI | - | NPPES |
5807043-1204 | Other | UT | MEDICAL LISC. # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5807043-1204 (Utah) | Primary |
Entity Name | Glutality Provider Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20201204001657 |
Mailing Address | Practice Location Address |
---|---|
Dr Randy Roy Lundell, DO 468 S Main St, Spanish Fork, UT 84660-2410 Ph: (801) 504-6117 | Dr Randy Roy Lundell, DO 954 N 200 E Ste 954, Spanish Fork, UT 84660-1247 Ph: (801) 504-6117 |
Tracy M Frandsen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 325 W Center St, Spanish Fork, UT 84660 Phone: 801-798-7301 Fax: 801-798-8513 | |
Dr. Robert A Frampton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24 N 100 E, Spanish Fork, UT 84660 Phone: 801-798-5359 | |
James J Rose Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 W Center St, Spanish Fork, UT 84660 Phone: 801-798-7301 Fax: 801-798-8513 | |
Dr. Andrew Barclay, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 336 W 100 S, Spanish Fork, UT 84660 Phone: 801-798-7301 Fax: 801-798-8513 | |
Frank J Archer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 N 100 E, Spanish Fork, UT 84660 Phone: 801-465-4896 Fax: 801-465-3267 | |
Jeffrey J Juchau, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 325 W Center St, Spanish Fork, UT 84660 Phone: 801-798-7301 Fax: 801-798-8513 |