| Stanton Mcdonald, Md Pc | |
|
345 W 600 S Ste 120 Heber City UT 84032-2283 | |
| (435) 654-1501 | |
| (435) 654-2030 |
| Full Name | Stanton Mcdonald, Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 345 W 600 S Ste 120, Heber City, Utah |
| Authorized Official Name and Position | Stanton Mcdonald (PRESIDENT) |
| Authorized Official Contact | 4356541501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanton Mcdonald, Md Pc 345 W 600 S Ste 120 Heber City UT 84032-2283 Ph: (435) 654-1501 | Stanton Mcdonald, Md Pc 345 W 600 S Ste 120 Heber City UT 84032-2283 Ph: (435) 654-1501 |
| NPI Number | 1497930200 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/01/2021 |
| Medicare PECOS PAC ID | 8426131392 |
|---|---|
| Medicare Enrollment ID | O20080215000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497930200 | NPI | - | NPPES |
| 529741935038 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 160908-1205 (Utah) | Primary |
| Provider Name | Stanton B Mcdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982636890 PECOS PAC ID: 0749208593 Enrollment ID: I20051109001156 |
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