Dr Raymond Jack Middleton, MD | |
653 South 170 West, Ivins, UT 84738 | |
(435) 632-8628 | |
(435) 634-1320 |
Full Name | Dr Raymond Jack Middleton |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 653 South 170 West, Ivins, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083670459 | NPI | - | NPPES |
870609622001 | Medicaid | UT | |
05805 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 161827-1205 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Raymond Jack Middleton, MD 653 South 170 West, Ivins, UT 84738 Ph: (435) 632-8628 | Dr Raymond Jack Middleton, MD 653 South 170 West, Ivins, UT 84738 Ph: (435) 632-8628 |
Dr. Mark Lee Wardle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 E Center St, Ivins, UT 84738 Phone: 435-222-1279 | |
Mary C Freesh, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 272 E Center St, Suite 201, Ivins, UT 84738 Phone: 435-986-2300 |