Richard M Rosenthal, MD | |
3585 N University Ave Ste 150, Provo, UT 84604-6630 | |
(801) 356-6100 | |
(801) 356-2113 |
Full Name | Richard M Rosenthal |
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Gender | Male |
Speciality | Pain Medicine - Pain Medicine |
Location | 3585 N University Ave Ste 150, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073512745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208VP0000X | Pain Medicine - Pain Medicine | 180329-1205 (Utah) | Primary |
Entity Name | Ut Center For Pain Management And Research, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902805948 PECOS PAC ID: 4587560693 Enrollment ID: O20031210000117 |
Mailing Address | Practice Location Address |
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Richard M Rosenthal, MD 3585 N University Ave Ste 150, Provo, UT 84604-6630 Ph: (801) 356-6100 | Richard M Rosenthal, MD 3585 N University Ave Ste 150, Provo, UT 84604-6630 Ph: (801) 356-6100 |
Dr. Tao Li, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 3585 N University Ave, Ste #150, Provo, UT 84604 Phone: 801-356-6100 Fax: 801-356-2113 | |
Devan Partridge, DO Pain Medicine Medicare: Medicare Enrolled Practice Location: 1055 N 300 W Ste 316, Provo, UT 84604 Phone: 801-262-7246 | |
Dr. J Riley Stringham, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 River Park Dr, #200, Provo, UT 84604 Phone: 801-223-4860 Fax: 801-371-8993 |