Dr Travis Dee Nelson, DO | |
250 W 300 N, Roosevelt, UT 84066-2336 | |
(435) 722-4691 | |
Not Available |
Full Name | Dr Travis Dee Nelson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 250 W 300 N, Roosevelt, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760689046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 58.002313 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 373427-1204 (Utah) | Primary |
Entity Name | Emergency Physicians Integrated Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
Entity Name | Uintah Basin Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948 |
Mailing Address | Practice Location Address |
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Dr Travis Dee Nelson, DO 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691 | Dr Travis Dee Nelson, DO 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691 |
Dr. Kathryn Olsen Cockerham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 801-722-4691 | |
Braxton Ray Duncan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 | |
Dr. Peter Lee Tanner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 Fax: 435-722-9291 | |
Dr. Lawrence Lynn Morrill, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104 | |
Dr. Aaron Bagley Stevens, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 Fax: 435-722-9291 | |
Colby Duncan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691 | |
Jason Jerry Larson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291 |