Dr Robert H Andtbacka, MD | |
50 N Medical Dr, Salt Lake City, UT 84132-0001 | |
(801) 581-2121 | |
Not Available |
Full Name | Dr Robert H Andtbacka |
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Gender | Male |
Speciality | Surgery |
Location | 50 N Medical Dr, 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 |
---|---|---|---|
1215042288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 6273962-1205 (Utah) | Primary |
2086X0206X | Surgery - Surgical Oncology | 6273962-1205 (Utah) | Secondary |
Entity Name | University Of Utah Acuity Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392 |
Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
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Dr Robert H Andtbacka, MD Po Box 58681, Salt Lake City, UT 84158-0681 Ph: (801) 213-3800 | Dr Robert H Andtbacka, MD 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-2121 |
Dr. Gregory Lawrence Livers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 129 F St, Salt Lake City, UT 84103 Phone: 801-364-3091 | |
Dr. Melanie Ann Dance, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, Salt Lake City, UT 84124 Phone: 801-265-2000 | |
Alexander Schurman, Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Kaohinani Joseph Longwolf, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132 Phone: 801-213-2598 | |
Marisol Z. Monzon, MD Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Charles David Richards, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1391 E Farm Hill Dr, Salt Lake City, UT 84117 Phone: 801-272-6859 | |
Dr. Teresa Reading, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 10th Ave, #100, Salt Lake City, UT 84103 Phone: 801-408-7660 Fax: 801-408-7650 |