Jennifer Marie Zalla, MD | |
1034 N 500 W, Provo, UT 84604-3380 | |
(801) 357-7707 | |
Not Available |
Full Name | Jennifer Marie Zalla |
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Gender | Female |
Speciality | Pediatrics |
Location | 1034 N 500 W, 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 |
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1497078075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 7958189-1205 (Utah) | Primary |
Entity Name | Kapiolani Medical Specialists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124071014 PECOS PAC ID: 0648183988 Enrollment ID: O20031111000895 |
Entity Name | Kapiolani Medical Center For Women & Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548215692 PECOS PAC ID: 9830097914 Enrollment ID: O20031229000149 |
Mailing Address | Practice Location Address |
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Jennifer Marie Zalla, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Jennifer Marie Zalla, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7707 |
Dr. Joshua Darrell Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604 Phone: 801-377-8000 | |
Jordan Gaudio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-1700 | |
Danielle Elise Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411 | |
Dr. Chuanchau Jerry Jou, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604 Phone: 385-477-6800 Fax: 385-477-6801 | |
Leslie Mark Lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7707 | |
Bradley Wayne Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N University Ave, #210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811 | |
Dr. Matthew Joseph Clayton, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604 Phone: 801-377-4800 Fax: 801-377-4041 |