| Daniel B Garvin, MD | |
|
590 E 100 N Ste 6, Price, UT 84501 | |
| (435) 637-1100 | |
| (435) 636-7040 |
| Full Name | Daniel B Garvin |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 590 E 100 N Ste 6, Price, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316385495 | NPI | - | NPPES |
| U000095437 | Other | UT | MEDICARE |
| 13163854965 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 9687295-1205 (Utah) | Primary |
| 208000000X | Pediatrics | R-9721 (Iowa) | Secondary |
| Entity Name | Castleview Physician Practice LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013364884 PECOS PAC ID: 6305995598 Enrollment ID: O20090518000607 |
| Entity Name | University of Utah Community Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467241554 PECOS PAC ID: 9739403569 Enrollment ID: O20150126002118 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel B Garvin, MD 330 Seven Springs Way, Brentwood, TN 37027-5098 Ph: (615) 920-7723 | Daniel B Garvin, MD 590 E 100 N Ste 6, Price, UT 84501 Ph: (435) 637-1100 |
Paul Anthony Thayn, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 945 W Hospital Dr Ste 4, Price, UT 84501 Phone: 435-650-5993 |
Edward K Madsen, PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 590 E 100 N, Ste 4, Price, UT 84501 Phone: 435-637-7551 Fax: 435-636-0499 |