Trevor Kent Smith, DO | |
1034 N 500 W, Provo, UT 84604-3380 | |
(801) 357-7291 | |
Not Available |
Full Name | Trevor Kent Smith |
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Gender | Male |
Speciality | Hospitalist |
Location | 1034 N 500 W, 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 |
---|---|---|---|
1659909240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 13448347-1204 (Utah) | Primary |
207R00000X | Internal Medicine | MRO-1906 (Idaho) | Secondary |
207R00000X | Internal Medicine | 13448347-1204 (Utah) | Secondary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Trevor Kent Smith, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 709-9288 | Trevor Kent Smith, DO 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7291 |
Mr. Jared Craig Kuntz, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310 | |
Dr. Rex F Ripplinger, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Provo, UT 84604 Phone: 801-429-8000 | |
Scott Terry Maughan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310 Fax: 314-577-8100 | |
Dr. Matthew Paul Steinfeldt, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411 |