Peter V Sundwall Jr, MD | |
10290 N North County Blvd, Suite 200, Highland, UT 84003-8400 | |
(801) 899-3391 | |
(801) 685-3266 |
Full Name | Peter V Sundwall Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 10290 N North County Blvd, Highland, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558470641 | NPI | - | NPPES |
D1942 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3393791205 (Utah) | Primary |
Entity Name | Alpine Family Medicine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427207836 PECOS PAC ID: 7911074828 Enrollment ID: O20080918000325 |
Entity Name | Preservemd Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942881867 PECOS PAC ID: 0244638104 Enrollment ID: O20211006002104 |
Mailing Address | Practice Location Address |
---|---|
Peter V Sundwall Jr, MD 10290 N North County Blvd, Suite 200, Highland, UT 84003-1819 Ph: (801) 899-3391 | Peter V Sundwall Jr, MD 10290 N North County Blvd, Suite 200, Highland, UT 84003-8400 Ph: (801) 899-3391 |
Peter Michael Sundwall, Family Medicine Medicare: Medicare Enrolled Practice Location: 10290 N. North County Blvd. Ste 200, Highland, UT 84003 Phone: 208-625-6000 Fax: 208-625-6001 | |
Dr. Charles Wesley Walton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11286 N Tamarack Dr, Highland, UT 84003 Phone: 801-492-9162 Fax: 801-492-9163 | |
Robert W Slack, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10968 N Alpine Hwy, Highland, UT 84003 Phone: 801-763-2900 | |
Tyler S Carroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10968 N Alpine Hwy, Highland, UT 84003 Phone: 801-763-2900 | |
Jeanne Marie Borget, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 10644 N 5660 W, Highland, UT 84003 Phone: 801-664-7679 | |
Terrance Stephen Drake, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5563 Coventry Rd, Highland, UT 84003 Phone: 801-216-4581 |