Ellie Sue Brownstein, MD | |
7495 S State St, Midvale, UT 84047-2013 | |
(801) 213-9400 | |
Not Available |
Full Name | Ellie Sue Brownstein |
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Gender | Female |
Speciality | Pediatrics |
Location | 7495 S State St, Midvale, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760572341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 346545-1205 (Utah) | Primary |
Entity Name | University Of Utah Community Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598169203 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
Mailing Address | Practice Location Address |
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Ellie Sue Brownstein, MD Po Box 510708, Salt Lake City, UT 84151-0708 Ph: (801) 587-6600 | Ellie Sue Brownstein, MD 7495 S State St, Midvale, UT 84047-2013 Ph: (801) 213-9400 |
Dr. Jeffrey W. Cline, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-8840 | |
Dr. Florence C Dalcanto, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1225 Fort Union Blvd, Ste 200, Midvale, UT 84047 Phone: 801-233-4400 Fax: 801-233-4410 | |
Dr. Kimberly A Balog, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1255 East Fort Union Blvd, Suite 200, Midvale, UT 84047 Phone: 801-523-0761 |