Logan Richard Dance, MD | |
100 N Mario Capecchi Dr, Salt Lake City, UT 84113 | |
(801) 487-0451 | |
Not Available |
Full Name | Logan Richard Dance |
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Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 14 Years |
Location | 100 N Mario Capecchi Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1740592823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2085R0202X | Radiology - Diagnostic Radiology | 10154010-1205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
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 |
Entity Name | University Of Utah Pediatric Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
Entity Name | Tellica Imaging Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760197198 PECOS PAC ID: 3577950765 Enrollment ID: O20231201000761 |
Mailing Address | Practice Location Address |
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Logan Richard Dance, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Logan Richard Dance, MD 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Ph: (801) 487-0451 |
Dr. Romuald Ferre, Radiology Medicare: Not Enrolled in Medicare Practice Location: University Of Utah Department Of Radiology And Imaging, 30 North Mario Capecchi Drive 2 South, Salt Lake City, UT 84112 Phone: 801-633-7085 | |
Dr. Vilija N Avizonis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3838 S 700 E, Suite 100, Salt Lake City, UT 84106 Phone: 801-281-6860 Fax: 801-281-4822 | |
Karen Lisa Salzman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Hugh F. Harnsberger, MD Radiology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, 1a71, Salt Lake City, UT 84132 Phone: 801-581-7553 | |
Dr. Jeffrey S Prince, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1900 | |
Dr. Erika J. Schneble, DO, MA Radiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Dr. Brad Wright, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3321 S 3010 E, Salt Lake City, UT 84109 Phone: 802-310-2843 |