Jefri A Williams, DO | |
274 N Main St, Logan, UT 84321-3915 | |
(435) 753-1600 | |
(435) 753-9521 |
Full Name | Jefri A Williams |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 274 N Main St, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770533622 | NPI | - | NPPES |
870550181001 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | DO2949 (Maine) | Secondary |
207L00000X | Anesthesiology | 180400-1204 (Utah) | Primary |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
Jefri A Williams, DO 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600 | Jefri A Williams, DO 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600 |
Jon R Robison, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Peter C Daines, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Vikas Garg, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Lyman B Stevens, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Joshua Tyler Christiansen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 | |
Richard B Palfreyman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Michael L Broadbent, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 |