Michelle Pepper Md Pc | |
6112 S 1550 E Ste 202 Ogden UT 84405-5608 | |
(385) 432-3240 | |
(385) 238-4887 |
Full Name | Michelle Pepper Md Pc |
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Speciality | Clinic/Center |
Location | 6112 S 1550 E Ste 202, Ogden, Utah |
Authorized Official Name and Position | John Ader (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 3854323240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michelle Pepper Md Pc 6112 S 1550 E Ste 202 Ogden UT 84405-5608 Ph: (385) 432-3240 | Michelle Pepper Md Pc 6112 S 1550 E Ste 202 Ogden UT 84405-5608 Ph: (385) 432-3240 |
NPI Number | 1750977237 |
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Provider Enumeration Date | 12/18/2020 |
Last Update Date | 11/07/2023 |
Medicare PECOS PAC ID | 9931512944 |
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Medicare Enrollment ID | O20210113000196 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750977237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Provider Name | Michelle Pepper |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1295881811 PECOS PAC ID: 4587718564 Enrollment ID: I20090811000502 |
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