Richard H Fryer, MD | |
11762 S State St Ste 220, Draper, UT 84020-7156 | |
(801) 571-2020 | |
(801) 571-6899 |
Full Name | Richard H Fryer |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 11762 S State St Ste 220, Draper, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760572366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 5166082-1205 (Utah) | Primary |
Entity Name | Premier Plastic Surgery Group Of Utah Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497941603 PECOS PAC ID: 6406823392 Enrollment ID: O20040910000970 |
Mailing Address | Practice Location Address |
---|---|
Richard H Fryer, MD 7942 S Forest Oaks Ct, Salt Lake City, UT 84121-5737 Ph: (801) 571-2020 | Richard H Fryer, MD 11762 S State St Ste 220, Draper, UT 84020-7156 Ph: (801) 571-2020 |
Paul Alma Watterson, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11762 S State St Ste 220, Draper, UT 84020 Phone: 801-571-2020 Fax: 801-571-6899 | |
Jed Reed Bindrup, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11762 So State St, Suite 260, Draper, UT 84020 Phone: 801-316-1313 Fax: 801-316-1314 | |
Dr. Nicholas Kay Howland, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 11762 S State St Ste 220, Draper, UT 84020 Phone: 801-571-2020 Fax: 801-571-6899 | |
Jared Garlick, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 11762 S State St Ste 333, Draper, UT 84020 Phone: 801-839-5557 |