Dwight Burdick, MD | |
2665 E 2100 S, Salt Lake City, UT 84109-1372 | |
(801) 842-9243 | |
Not Available |
Full Name | Dwight Burdick |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2665 E 2100 S, 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 |
---|---|---|---|
1801201496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 156895-1205 (Utah) | Primary |
207P00000X | Emergency Medicine | D4939 (Texas) | Secondary |
207P00000X | Emergency Medicine | C31759 (California) | Secondary |
Entity Name | Dhhs Ihs Phoenix Area |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
Mailing Address | Practice Location Address |
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Dwight Burdick, MD 2665 E 2100 S, Salt Lake City, UT 84109-1372 Ph: (801) 842-9243 | Dwight Burdick, MD 2665 E 2100 S, Salt Lake City, UT 84109-1372 Ph: (801) 842-9243 |
Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417 | |
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951 | |
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015 | |
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111 | |
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111 |