Dr Lyman Val Rollins, MD | |
5475 S 500 E, Ogden, UT 84405-6905 | |
(801) 479-2111 | |
Not Available |
Full Name | Dr Lyman Val Rollins |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 5475 S 500 E, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184686768 | NPI | - | NPPES |
05386 | Medicaid | UT | |
930085282 | Other | UT | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 159564-1205 (Utah) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 159564-1205 (Utah) | Secondary |
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 |
Mailing Address | Practice Location Address |
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Dr Lyman Val Rollins, MD 144 S 500 E, 2nd Floor, Salt Lake City, UT 84102-1907 Ph: () - | Dr Lyman Val Rollins, MD 5475 S 500 E, Ogden, UT 84405-6905 Ph: (801) 479-2111 |
Robert W Grow, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5475 Adams Ave Pkwy, Ogden, UT 84405 Phone: 801-479-2376 | |
Mrs. Ramsey Lee Gosselin, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E Ste 100, Ogden, UT 84405 Phone: 801-475-7966 Fax: 801-475-7967 | |
Robert D Crofts, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7615 Fax: 801-387-7667 | |
Spencer Page Ferrin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7001 | |
Kristian Kemp, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2111 | |
Mitchell Douglas Barneck, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7000 |