Trenten Don Thorn, MD | |
3460 Pioneer Pkwy, West Valley City, UT 84120 | |
(801) 964-3100 | |
Not Available |
Full Name | Trenten Don Thorn |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3460 Pioneer Pkwy, West Valley City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295819621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 6077654-1205 (Utah) | Secondary |
207P00000X | Emergency Medicine | 6077654-1205 (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 |
---|---|
Trenten Don Thorn, MD 333 N 300 W, Salt Lake City, UT 84103-1215 Ph: (385) 202-6689 | Trenten Don Thorn, MD 3460 Pioneer Pkwy, West Valley City, UT 84120 Ph: (801) 964-3100 |
Quinn Weber, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Michelle Dieter, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
Sharon Kolber, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Brent Larsen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Dick Creager, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 | |
Chad Nicholls, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3460 Pioneer Pkwy, West Valley City, UT 84120 Phone: 801-964-3100 |