| Timothy L Pefaur, PA-C | |
|
22 S 900 E, Salt Lake City, UT 84102-1307 | |
| (801) 328-2522 | |
| Not Available |
| Full Name | Timothy L Pefaur |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 22 S 900 E, Salt Lake City, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871628404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 309333-1206 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lds Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy L Pefaur, PA-C 22 S 900 E, Slc, UT 84102-1307 Ph: (801) 328-2522 | Timothy L Pefaur, PA-C 22 S 900 E, Salt Lake City, UT 84102-1307 Ph: (801) 328-2522 |
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