Jandrely Lopez Morales, MD | |
7495 S State St, Midvale, UT 84047-2013 | |
(801) 213-9400 | |
Not Available |
Full Name | Jandrely Lopez Morales |
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Gender | Female |
Speciality | Family Medicine |
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 |
---|---|---|---|
1710514203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13425543-1205 (Utah) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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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Jandrely Lopez Morales, MD 7495 S State St, Midvale, UT 84047-2013 Ph: (801) 213-9400 | Jandrely Lopez Morales, MD 7495 S State St, Midvale, UT 84047-2013 Ph: (801) 213-9400 |
Dr. Jay Caesar Moreland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 W 7200 S Ste A, 72nd Street Clinic, Chc Inc, Midvale, UT 84047 Phone: 801-566-5494 Fax: 801-561-9647 | |
Dr. Katie Lynn Donnelly, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 E 6850 S, Midvale, UT 84047 Phone: 307-259-8362 | |
Grace Kim Harris, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1225 E Fort Union Blvd, Suite 200, Midvale, UT 84047 Phone: 801-233-4400 Fax: 801-233-4410 | |
Dr. Sarah Miller, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 877-497-4661 | |
Larisa B. Yaroshchuk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 | |
Hugo Rivas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7259 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 915-213-4218 | |
Layne Lloyd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047 Phone: 801-233-4400 Fax: 801-233-4410 |