Richard John, DO | |
1350 N 500 E, Logan, UT 84341-2400 | |
(208) 234-4700 | |
Not Available |
Full Name | Richard John |
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Gender | Male |
Speciality | Family Medicine |
Location | 1350 N 500 E, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649894692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13421605-8904 (Utah) | Primary |
Entity Name | Tanner Memorial Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
Entity Name | Utah Regional Hospitalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236 |
Entity Name | Impact Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114428612 PECOS PAC ID: 6204199086 Enrollment ID: O20240109003187 |
Mailing Address | Practice Location Address |
---|---|
Richard John, DO 1350 N 500 E, Logan, UT 84341-2400 Ph: () - | Richard John, DO 1350 N 500 E, Logan, UT 84341-2400 Ph: (208) 234-4700 |
Brant Wahlen Fonnesbeck, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste K, Logan, UT 84341 Phone: 435-755-6061 | |
Amanda E Stott, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1260 | |
Douglas R Hyldahl, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 N 200 E, Logan, UT 84321 Phone: 435-713-2800 | |
David N N Casey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 N. 200 E., Logan, UT 84321 Phone: 435-713-2710 Fax: 435-713-2747 | |
Nathan H Call, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1652 S Main St, Logan, UT 84321 Phone: 435-752-6105 | |
Dr. Matthew John Welter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1219 N 400 E, Logan, UT 84341 Phone: 435-757-8943 | |
Glenn O Mortensen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1750 N 1000 E, Logan, UT 84341 Phone: 435-757-1516 |