Ryan Giles, MD | |
3580 W 9000 S, West Jordan, UT 84088-8812 | |
(801) 561-8888 | |
Not Available |
Full Name | Ryan Giles |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3580 W 9000 S, West Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013977511 | NPI | - | NPPES |
D4021 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 4936167-1205 (Utah) | Secondary |
207P00000X | Emergency Medicine | 4936167-1205 (Utah) | Primary |
Entity Name | Emergency Physicians Integrated Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
Mailing Address | Practice Location Address |
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Ryan Giles, MD 144 S 500 E, 2nd Floor, Salt Lake City, UT 84102-1907 Ph: () - | Ryan Giles, MD 3580 W 9000 S, West Jordan, UT 84088-8812 Ph: (801) 561-8888 |
Thomas Macfarlane, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Richard Bart Johansen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Thomas Darr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Andrew Gardner Florence, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Barbara Dahl, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 | |
Ann Page, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3580 W 9000 S, West Jordan, UT 84088 Phone: 801-561-8888 |