Randal W Swenson, MD | |
4000 S 700 E, Ste 10, Slc, UT 84107-2180 | |
(801) 268-4141 | |
(801) 268-4141 |
Full Name | Randal W Swenson |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 46 Years |
Location | 4000 S 700 E, Slc, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578522959 | NPI | - | NPPES |
870354540001 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 172807-1205 (Utah) | Primary |
207Y00000X | Otolaryngology | 172807-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mark's Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ent Professional Association Services | 8921053349 | 15 |
Entity Name | Ent Professional Association Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801857271 PECOS PAC ID: 8921053349 Enrollment ID: O20050318000500 |
Mailing Address | Practice Location Address |
---|---|
Randal W Swenson, MD 4000 S 700 E, Ste 10, Slc, UT 84107-2180 Ph: (801) 268-4141 | Randal W Swenson, MD 4000 S 700 E, Ste 10, Slc, UT 84107-2180 Ph: (801) 268-4141 |
David K Palmer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4000 S 700 E, Ste 10, Slc, UT 84107 Phone: 801-268-4141 Fax: 801-261-8609 | |
Dr. John E Butler, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4000 S 700 E, Ste 10, Slc, UT 84107 Phone: 801-268-4141 Fax: 801-261-8609 | |
Jerry W Sonkens, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4000 S 700 E, Ste 10, Slc, UT 84107 Phone: 801-268-4141 Fax: 801-261-8609 |