Mr Bradford D Hare, MD | |
50 N Medical Dr, Slc, UT 84132 | |
(801) 581-6393 | |
(801) 587-6459 |
Full Name | Mr Bradford D Hare |
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Gender | Male |
Speciality | Anesthesiology |
Location | 50 N Medical Dr, Slc, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215012992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 164474-1205 (Utah) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | 164474-1205 (Utah) | Secondary |
Entity Name | U U Anesthesiology Department School Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134158322 PECOS PAC ID: 8527963966 Enrollment ID: O20031128000007 |
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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Mr Bradford D Hare, MD Po Box 413034, Salt Lake City, UT 84141-3034 Ph: (801) 213-3900 | Mr Bradford D Hare, MD 50 N Medical Dr, Slc, UT 84132 Ph: (801) 581-6393 |
Philip Owen, Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Dept Of, Slc, UT 84132 Phone: 801-587-1771 Fax: 801-581-4367 | |
Mr. Clint Christensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 | |
Georges Desjardins, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 | |
Sean Torin Runnels, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 | |
Joshua Micah Zimmerman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, Slc, UT 84132 Phone: 801-581-6393 | |
Annette Macintyre, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 |