Natalie Mar, MD | |
5405 S 500 E Ste 202, Ogden, UT 84405-7419 | |
(801) 475-8600 | |
(801) 475-8686 |
Full Name | Natalie Mar |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 5405 S 500 E Ste 202, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891705588 | NPI | - | NPPES |
1003001553 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A71887 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Natalie Mar, MD Po Box 100925, Atlanta, GA 30384-0925 Ph: (801) 475-8600 | Natalie Mar, MD 5405 S 500 E Ste 202, Ogden, UT 84405-7419 Ph: (801) 475-8600 |
Chad W Tingey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3090 Fax: 801-475-3089 | |
Dr. John H Lyons Iii, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-479-4621 Fax: 801-476-2670 | |
Dr. Jared Heaton, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 385-264-0660 | |
Dr. Adam Read Taintor, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3860 Jackson Ave Ste 2, Ogden, UT 84403 Phone: 801-627-0515 Fax: 801-627-0517 | |
Dr. Stephen Talmage Thomson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6028 S Ridgeline Dr, Suite #102, Ogden, UT 84405 Phone: 801-399-3324 Fax: 801-394-2807 |