Marco Antonio Rudas-garcia, | |
1929 W 2295 S, Woods Cross, UT 84087-2600 | |
(385) 416-7071 | |
Not Available |
Full Name | Marco Antonio Rudas-garcia |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1929 W 2295 S, Woods Cross, 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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1386413409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9819736-4405 (Utah) | Primary |
Entity Name | Jacobs Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407573850 PECOS PAC ID: 0749721702 Enrollment ID: O20240918002801 |
Mailing Address | Practice Location Address |
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Marco Antonio Rudas-garcia, 1929 W 2295 S, Woods Cross, UT 84087-2600 Ph: (385) 416-7071 | Marco Antonio Rudas-garcia, 1929 W 2295 S, Woods Cross, UT 84087-2600 Ph: (385) 416-7071 |
Raymond William Allen, APRN, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 971 W 1200 S, Woods Cross, UT 84087 Phone: 801-891-7261 | |
Shannon L Compton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 598 W 900 S, Woods Cross, UT 84010 Phone: 801-475-5111 | |
Carley Ann Florence, APRN, AGPCNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 W 900 S Ste 105, Woods Cross, UT 84010 Phone: 801-397-4040 | |
Robert Baird, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 467 W 1875 S Apt D401, Woods Cross, UT 84010 Phone: 385-227-1209 | |
Stephanie Rudas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1929 W 2295 S, Woods Cross, UT 84087 Phone: 385-427-5756 | |
Mary Ann Abrahamson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 971 W 1200 S, Woods Cross, UT 84087 Phone: 435-849-1469 |