Kreg Jared Love, DO | |
88 W Center St, Logan, UT 84321-4538 | |
(435) 553-4130 | |
Not Available |
Full Name | Kreg Jared Love |
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Gender | Male |
Speciality | Family Medicine |
Location | 88 W Center 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 |
---|---|---|---|
1710123575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4812380-1204 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Mailing Address | Practice Location Address |
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Kreg Jared Love, DO 88 W Center St, Logan, UT 84321-4538 Ph: (435) 553-4130 | Kreg Jared Love, DO 88 W Center St, Logan, UT 84321-4538 Ph: (435) 553-4130 |
Brant Wahlen Fonnesbeck, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste K, Logan, UT 84341 Phone: 435-755-6061 | |
Amanda E Stott, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1260 | |
Douglas R Hyldahl, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 N 200 E, Logan, UT 84321 Phone: 435-713-2800 | |
David N N Casey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 N. 200 E., Logan, UT 84321 Phone: 435-713-2710 Fax: 435-713-2747 | |
Nathan H Call, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1652 S Main St, Logan, UT 84321 Phone: 435-752-6105 | |
Dr. Matthew John Welter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1219 N 400 E, Logan, UT 84341 Phone: 435-757-8943 | |
Glenn O Mortensen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1750 N 1000 E, Logan, UT 84341 Phone: 435-757-1516 |