Dr Stacey Townsend, MD | |
672 W 400 S Ste 101, Springville, UT 84663-3170 | |
(801) 491-9883 | |
(801) 489-3141 |
Full Name | Dr Stacey Townsend |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 672 W 400 S Ste 101, Springville, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962554568 | NPI | - | NPPES |
323367-1205 | Other | UT | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 323367-1205 (Utah) | Primary |
Entity Name | Central Utah Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacey Townsend, MD 1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225 | Dr Stacey Townsend, MD 672 W 400 S Ste 101, Springville, UT 84663-3170 Ph: (801) 491-9883 |
George H Michalek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 672 W. 400 S., Suite 101, Springville, UT 84663 Phone: 801-491-9883 Fax: 801-489-3141 | |
David Devenport, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 672 W. 400 S., Suite 101, Springville, UT 84663 Phone: 801-491-9883 Fax: 801-489-3141 | |
Dr. Mark Jonathan Devenport, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 672 W. 400 S., Suite 101, Springville, UT 84663 Phone: 801-491-9883 Fax: 801-489-3141 |