Douglas C. Walker D.o., P.c. | |
300 W 1400 S Garland UT 84312-9393 | |
(435) 257-3684 | |
(435) 257-7554 |
Full Name | Douglas C. Walker D.o., P.c. |
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Speciality | Family Medicine |
Location | 300 W 1400 S, Garland, Utah |
Authorized Official Name and Position | Douglas C Walker (PRESIDENT) |
Authorized Official Contact | 4352573684 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Douglas C. Walker D.o., P.c. Po Box 278 Tremonton UT 84337-0278 Ph: (435) 257-3684 | Douglas C. Walker D.o., P.c. 300 W 1400 S Garland UT 84312-9393 Ph: (435) 257-3684 |
NPI Number | 1306843750 |
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Provider Enumeration Date | 06/30/2005 |
Last Update Date | 08/13/2020 |
Medicare PECOS PAC ID | 8729991070 |
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Medicare Enrollment ID | O20031111000940 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306843750 | NPI | - | NPPES |
519969458039 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3592391204 (Utah) | Primary |
Provider Name | Douglas C Walker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821095142 PECOS PAC ID: 9638082985 Enrollment ID: I20031113000463 |
Provider Name | Michael Rasmussen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487056339 PECOS PAC ID: 8426470899 Enrollment ID: I20200612001938 |
Chapman Telehealth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 Riverview Dr, Garland, UT 84312 Phone: 801-603-6576 | |
Bear River Medical Arts Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 W 1400 S, Garland, UT 84312 Phone: 435-257-2469 Fax: 435-257-2434 |