| Douglas L Packer, MD | |
|
5121 S Cottonwood St, Murray, UT 84107-5701 | |
| (801) 507-7000 | |
| Not Available |
| Full Name | Douglas L Packer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Clinical Cardiac Electrophysiology |
| 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 |
|---|---|---|---|
| 1194703942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 13534972-8905 (Utah) | Primary |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Entity Name | Mayo Clinic Health System-st James |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023177730 PECOS PAC ID: 9537170352 Enrollment ID: O20060509000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas L Packer, MD 5121 S Cottonwood St, Murray, UT 84107-5701 Ph: (801) 507-7000 | Douglas L Packer, MD 5121 S Cottonwood St, Murray, UT 84107-5701 Ph: (801) 507-7000 |
Bogdan Ciprian Anea, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Intermountain Kidney Services Clinic, 5169 South Cottonwood Street, Suite 320, Murray, UT 84107 Phone: 801-507-2531 Fax: 801-507-2597 | |
Dr. Samah Bassas, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1278 E Darby Cir, Murray, UT 84117 Phone: 801-228-7228 | |
E Dennis Genebach, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5801 Fashion Blvd, Murray, UT 84107 Phone: 801-314-4544 | |
Dr. Tomoki Sempokuya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 210, Murray, UT 84107 Phone: 801-507-3380 | |
Richa Parag Sheth, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 | |
Dr. Samuel Morris Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-6415 | |
Dr. Jamie Lynn Rebman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5121 Cottonwood Rd, Suite 610, Murray, UT 84107 Phone: 801-507-3630 Fax: 801-507-3630 |