Kristen Haas Black, DO | |
3723 W 12600 S Ste 360, Riverton, UT 84065-7296 | |
(801) 285-4700 | |
Not Available |
Full Name | Kristen Haas Black |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 3723 W 12600 S Ste 360, Riverton, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982965034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5101019941 (Michigan) | Secondary |
207V00000X | Obstetrics & Gynecology | 9732284-1204 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Kristen Haas Black, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 285-4700 | Kristen Haas Black, DO 3723 W 12600 S Ste 360, Riverton, UT 84065-7296 Ph: (801) 285-4700 |
Jane C Bowman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3723 W 12600 S, Suite 360, Riverton, UT 84065 Phone: 801-285-4700 Fax: 801-285-4601 | |
Christopher V Hutchison, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1750 Fax: 801-965-1715 | |
Dr. William Benjamin Warner, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1700 | |
Edwin Ray England, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1700 | |
Tricia Anne Twelves, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1750 Fax: 801-302-1715 | |
Dr. Janet Benavidez Eddy, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3723 W 12600 S Ste 350, Riverton, UT 84065 Phone: 801-285-4800 | |
Christopher Jesse Jolles, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 12391 S 4000 W, Ste 208, Riverton, UT 84096 Phone: 801-302-5360 Fax: 801-302-7898 |