| Charles L Beck Jr, MD | |
|
96 E Kimballs Ln Ste 207, Draper, UT 84020-5025 | |
| (801) 576-2300 | |
| (844) 249-1746 |
| Full Name | Charles L Beck Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 96 E Kimballs Ln Ste 207, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528124815 | NPI | - | NPPES |
| 1265638357 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 177223-1205 (Utah) | Primary |
| Entity Name | Physician Group Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles L Beck Jr, MD Po Box 100253, Atlanta, GA 30384-0253 Ph: (801) 568-5972 | Charles L Beck Jr, MD 96 E Kimballs Ln Ste 207, Draper, UT 84020-5025 Ph: (801) 576-2300 |
Paul Fenton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 419-537-5600 | |
Brian D Powell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 801-576-2399 | |
Dr. James Earl Brewster, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 | |
Stuart C Marshall Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 844-249-1746 | |
Dr. Spencer Hayden Amundsen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 844-249-1746 | |
Dr. Richard Brian Mackey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 96 E Kimballs Ln Ste 207, Draper, UT 84020 Phone: 801-576-2300 Fax: 844-249-1746 |