Jon Christopher Vivolo, DO | |
1311 N Mildred Rd, Cortez, CO 81321-2231 | |
(970) 565-6666 | |
Not Available |
Full Name | Jon Christopher Vivolo |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1311 N Mildred Rd, Cortez, Colorado |
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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1851706881 | NPI | - | NPPES |
Entity Name | Emergency Physicians Integrated Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
Entity Name | Utah Emergency Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20040628001454 |
Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
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Jon Christopher Vivolo, DO University Of Ky Emergency Med 800 Rose St Rm M-53, Lexington, KY 40536-0298 Ph: (859) 323-2300 | Jon Christopher Vivolo, DO 1311 N Mildred Rd, Cortez, CO 81321-2231 Ph: (970) 565-6666 |
Dr. Todd R Fowler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Jennifer Ann Gero, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-2152 | |
Dr. David Buckwalter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Sean Philip Rooks, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Dr. Matthew R Kamper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Kenton Lee Asche, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 Fax: 970-564-2155 | |
Balaji Srinivas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 |