Valley Family Medicine Pc | |
2376 N 400 E Ste 102 Tooele UT 84074-3413 | |
(435) 843-1225 | |
(435) 843-1228 |
Full Name | Valley Family Medicine Pc |
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Speciality | Family Medicine |
Location | 2376 N 400 E Ste 102, Tooele, Utah |
Authorized Official Name and Position | Carolyn Forbes (OWNER) |
Authorized Official Contact | 4358431225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Family Medicine Pc 2376 N 400 E Ste 102 Tooele UT 84074-3413 Ph: (435) 843-1225 | Valley Family Medicine Pc 2376 N 400 E Ste 102 Tooele UT 84074-3413 Ph: (435) 843-1225 |
NPI Number | 1033412481 |
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Provider Enumeration Date | 12/07/2010 |
Last Update Date | 09/20/2011 |
Medicare PECOS PAC ID | 2062505852 |
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Medicare Enrollment ID | O20110121000745 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033412481 | NPI | - | NPPES |
308723752008 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 346411 (Utah) | Primary |
Provider Name | Carolyn Forbes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144251711 PECOS PAC ID: 8426190513 Enrollment ID: I20100128000065 |
Provider Name | Spencer Gordon Larson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790300143 PECOS PAC ID: 5597139006 Enrollment ID: I20230324000620 |
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Spine And Posture Rehabilitation Of Tooele Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 S Main St, Suite 2, Tooele, UT 84074 Phone: 435-882-1621 Fax: 435-882-8267 | |
Tooele Clinic Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1887 Aaron Dr Ste B, Tooele, UT 84074 Phone: 435-775-9973 Fax: 435-775-9985 | |
Granger Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 N 400 E Ste 201, Tooele, UT 84074 Phone: 801-352-5900 Fax: 801-352-5914 | |
Ram C Sharma, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 S 100 E, Tooele, UT 84074 Phone: 435-882-0424 Fax: 435-843-1511 | |
Blake R. Beazer, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2356 N 400 E, Ste. 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 |