Amy Miner, MD | |
5121 S Cottonwood St, Murray, UT 84107-5701 | |
(801) 507-7000 | |
Not Available |
Full Name | Amy Miner |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 5121 S Cottonwood St, Murray, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265936843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 25MA11185500 (New Jersey) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 363600-1205 (Utah) | Primary |
Entity Name | Cooper Pediatric Specialists, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306867585 PECOS PAC ID: 9335211317 Enrollment ID: O20080708000593 |
Mailing Address | Practice Location Address |
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Amy Miner, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Amy Miner, MD 5121 S Cottonwood St, Murray, UT 84107-5701 Ph: (801) 507-7000 |
Jennifer Lynn Makosky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Dale L Chapman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Dr. Paul E Wirkus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Dr. John B Wall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Jake C Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Joseph A Roberts, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 164 E 5900 S, Ste A112, Murray, UT 84107 Phone: 801-262-2673 Fax: 801-269-9894 |