Martin Yukpoon Tam, MD | |
1002 E South Temple, Salt Lake City, UT 84102-1525 | |
(801) 521-2102 | |
(801) 521-2830 |
Full Name | Martin Yukpoon Tam |
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Gender | Male |
Speciality | Urology |
Location | 1002 E South Temple, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932474079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208800000X | Urology | 8831907-1205 (Utah) | Primary |
Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
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Martin Yukpoon Tam, MD 866 S 2300 E, Salt Lake City, UT 84108-1430 Ph: (510) 384-4075 | Martin Yukpoon Tam, MD 1002 E South Temple, Salt Lake City, UT 84102-1525 Ph: (801) 521-2102 |
Dr. Stephen James Summers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891 | |
Benjamin James Mccormick, Urology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-213-2704 Fax: 801-585-2891 | |
Leah Stoehr, APRN Urology Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5555 | |
John Evan Thomas, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132 Phone: 801-213-2700 Fax: 801-585-2891 | |
Colton K. Leavitt, MD Urology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132 Phone: 801-213-2718 | |
Michael W. Mangelson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 389 S 900 E, Salt Lake City, UT 84102 Phone: 385-282-2000 Fax: 385-282-2001 | |
Julia Faith Piwowarski, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Salt Lake City, UT 84132 Phone: 801-581-7304 |