| Sergio Abarca, M.d., Inc | |
|
2356 N 400 E Ste 201 Tooele UT 84074 | |
| (435) 882-2350 | |
| (435) 882-2039 |
| Full Name | Sergio Abarca, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2356 N 400 E, Tooele, Utah |
| Authorized Official Name and Position | Sergio Abarca (MEDICAL DOCTOR) |
| Authorized Official Contact | 4358822350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sergio Abarca, M.d., Inc 2356 N 400 E Ste 201 Tooele UT 84074 Ph: (435) 882-2350 | Sergio Abarca, M.d., Inc 2356 N 400 E Ste 201 Tooele UT 84074 Ph: (435) 882-2350 |
| NPI Number | 1770766586 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 09/10/2009 |
| Medicare PECOS PAC ID | 5890727663 |
|---|---|
| Medicare Enrollment ID | O20050901000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770766586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5250296 (Utah) | Primary |
| Provider Name | Sergio O Abarca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245238617 PECOS PAC ID: 2769449339 Enrollment ID: I20041217000125 |
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