Elena L Goncharova, MD | |
425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | |
(801) 475-5100 | |
(801) 475-8580 |
Full Name | Elena L Goncharova |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 425 E 5350 S, Ogden, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619085339 | NPI | - | NPPES |
649502110001 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5378651-1205 (Utah) | Primary |
Mailing Address | Practice Location Address |
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Elena L Goncharova, MD 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 Ph: (801) 475-5100 | Elena L Goncharova, MD 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 Ph: (801) 475-5100 |
Mikhail Shipotko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 | |
Ewa Gniado, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Jaclyn Nguyen, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 | |
Dr. Timothy Trask, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-3654 | |
Gregory T Almony, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E, Suite #204, Ogden, UT 84405 Phone: 801-479-0194 Fax: 801-479-5642 | |
Brian W Pugh, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405 Phone: 801-475-5400 Fax: 801-475-8614 | |
Dr. Jack D Wahlen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 |