| Barry Gardner, MD | |
|
1400 N 500 E, Logan, UT 84341-2455 | |
| (435) 716-1000 | |
| Not Available |
| Full Name | Barry Gardner |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 1400 N 500 E, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922049923 | NPI | - | NPPES |
| 807469200 | Medicaid | ID | |
| P00393212 | Other | RAILROAD MEDICARE | |
| D1618 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 319532 (Utah) | Secondary |
| 208D00000X | General Practice | 319532-1205 (Utah) | Primary |
| Entity Name | Emergency Physicians Integrated Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
| Entity Name | American Current Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003090879 PECOS PAC ID: 9739260019 Enrollment ID: O20091207000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Gardner, MD Po Box 25535, Salt Lake City, UT 84125-0535 Ph: (866) 898-7136 | Barry Gardner, MD 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1000 |
Dr. Ryan H Larsen, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 258 S Main St Ste 210, Logan, UT 84321 Phone: 435-383-6120 Fax: 435-557-8003 | |
Dr. Troy M Schwartz, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N, Logan, UT 84341 Phone: 801-387-7150 |