| Dr Caryn Kendra Slack, MD | |
|
4535 S 5600 W, West Valley City, UT 84120-4639 | |
| (801) 676-4405 | |
| (877) 497-4661 |
| Full Name | Dr Caryn Kendra Slack |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 4535 S 5600 W, West Valley City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689619124 | NPI | - | NPPES |
| 1164672770 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5597655-1205 (Utah) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Caryn Kendra Slack, MD 4535 S 5600 W, West Valley City, UT 84120-4639 Ph: (801) 676-4405 | Dr Caryn Kendra Slack, MD 4535 S 5600 W, West Valley City, UT 84120-4639 Ph: (801) 676-4405 |
Dr. Casey Joseph Henich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
Ray Morris Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3465 So 4155 W Suite #2, West Valley City, UT 84120 Phone: 801-963-7636 Fax: 801-963-8130 | |
Jennifer J Denbleyker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Erin Bathurst Helms, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5373 W Lake Park Blvd, West Valley City, UT 84120 Phone: 801-902-8080 | |
Dr. Charles Wesley Miller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4052 West Pioneer Parkway, Suite 109, West Valley City, UT 84120 Phone: 801-912-8230 Fax: 801-840-2208 | |
Dr. Lori E Witter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-213-9200 | |
Curtis Gapinski, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |