Lance Owens, MD | |
2055 N Main St, Tooele, UT 84074-9819 | |
(435) 843-3600 | |
Not Available |
Full Name | Lance Owens |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2055 N Main St, Tooele, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972565471 | NPI | - | NPPES |
10161 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 183026-1205 (Utah) | Secondary |
207P00000X | Emergency Medicine | 183026-1205 (Utah) | Primary |
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 |
---|---|
Lance Owens, MD 144 S 500 E, 2nd Floor, Salt Lake City, UT 84102-1907 Ph: () - | Lance Owens, MD 2055 N Main St, Tooele, UT 84074-9819 Ph: (435) 843-3600 |
Dr. Mark R. Jackson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1474 E Erda Way, Tooele, UT 84074 Phone: 435-849-0779 | |
Adam Saperston, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Richard Thurman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
John Masaryk, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Daniel Duggleby, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Stanley J. Callister, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Building 400, Tooele Army Depot, Tooele, UT 84074 Phone: 435-833-2572 Fax: 435-833-3933 | |
Mr. Jeffrey Richards Davis, PA-C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1244 N Main St Ste 201, Tooele, UT 84074 Phone: 435-849-4155 |