Gregg Michael Guilfoyle, DO | |
1055 N 300 W Ste 301, Provo, UT 84604-3373 | |
(801) 702-9191 | |
Not Available |
Full Name | Gregg Michael Guilfoyle |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 1055 N 300 W Ste 301, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972769917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | OS014237 (Pennsylvania) | Secondary |
208200000X | Plastic Surgery | 118475001204 (Utah) | Secondary |
208200000X | Plastic Surgery | 11847500-1204 (Utah) | Primary |
Entity Name | Chs Professional Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710987417 PECOS PAC ID: 4880591288 Enrollment ID: O20040521000334 |
Mailing Address | Practice Location Address |
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Gregg Michael Guilfoyle, DO 1055 N 300 W Ste 301, Provo, UT 84604-3373 Ph: (801) 702-9191 | Gregg Michael Guilfoyle, DO 1055 N 300 W Ste 301, Provo, UT 84604-3373 Ph: (801) 702-9191 |
Paul Deramo, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. Devan Griner, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-702-9191 Fax: 801-606-2705 | |
Charles Herbert Stewart, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3650 N University Ave, Suite 200, Provo, UT 84604 Phone: 801-375-4100 Fax: 801-427-3251 |