Michelle Dieter, DO | |
2965 W 3500 S, West Valley City, UT 84119-3602 | |
(801) 965-3600 | |
Not Available |
Full Name | Michelle Dieter |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 2965 W 3500 S, West Valley 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 |
---|---|---|---|
1093146003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 11929878-1204 (Utah) | Primary |
207P00000X | Emergency Medicine | 20A13278 (California) | Secondary |
Entity Name | Redondo Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376834937 PECOS PAC ID: 9032388269 Enrollment ID: O20110804000471 |
Mailing Address | Practice Location Address |
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Michelle Dieter, DO 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 | Michelle Dieter, DO 2965 W 3500 S, West Valley City, UT 84119-3602 Ph: (801) 965-3600 |
Quinn Weber, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Sharon Kolber, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Brent Larsen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Trenten Don Thorn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Dick Creager, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Chad Nicholls, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 |