| Theresa Gourde, MD | |
|
10623 S Redwood Rd, Suite 101, South Jordan, UT 84095-2481 | |
| (801) 302-0899 | |
| (801) 302-0892 |
| Full Name | Theresa Gourde |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 10623 S Redwood Rd, South Jordan, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487688685 | NPI | - | NPPES |
| 111485-1205 | Other | UT | MEDICAL LICENSE |
| 1447360383 | Medicaid | UT | |
| 1982871828 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 111485-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Gourde, MD 10623 S Redwood Rd, Suite 101, South Jordan, UT 84095-2481 Ph: (801) 302-0899 | Theresa Gourde, MD 10623 S Redwood Rd, Suite 101, South Jordan, UT 84095-2481 Ph: (801) 302-0899 |
Dr. Forrest A Bullock, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5268 W Bowstring Way, South Jordan, UT 84009 Phone: 307-760-3869 | |
Dr. Rachot K Vacharothone, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10464 S Redwood Rd, South Jordan, UT 84095 Phone: 801-260-1919 Fax: 801-260-1441 | |
Dr. Brigham Ronald Smith, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 | |
Martin A Hollingsworth, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3556 W 9800 S, #101, South Jordan, UT 84095 Phone: 801-567-9750 Fax: 801-567-9826 | |
Patricia Legant, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5126 W Daybreak Parkway, South Jordan Medical Center, South Jordan, UT 84095 Phone: 801-213-4319 |