J Timothy Duffy, MD | |
3723 W 12600 S, Suite 450, Riverton, UT 84065-7295 | |
(801) 285-4543 | |
Not Available |
Full Name | J Timothy Duffy |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3723 W 12600 S, Riverton, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376654285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 983638911205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
J Timothy Duffy, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 302-7300 | J Timothy Duffy, MD 3723 W 12600 S, Suite 450, Riverton, UT 84065-7295 Ph: (801) 285-4543 |
Dr. Monica Child Wonnacott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1700 Fax: 801-302-1714 | |
Ms. Katherine Douglas Westmoreland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S, Ste 450, Riverton, UT 84065 Phone: 801-285-4543 Fax: 801-285-4540 | |
Kristina D Esham, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S, Suite 450, Riverton, UT 84065 Phone: 801-285-4543 | |
Dr. Stasha S Lewis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 150, Riverton, UT 84065 Phone: 801-285-4561 | |
Dr. Shellie J Ring, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 330, Riverton, UT 84065 Phone: 801-285-4543 | |
Dr. Craig Alan Coleby, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12391 S 4000 W, Suite 100, Riverton, UT 84096 Phone: 801-302-1700 |