| Dr Evan George Black, MD | |
|
5323 Woodrow St, #201, Murray, UT 84107-5841 | |
| (801) 261-4711 | |
| (801) 261-4769 |
| Full Name | Dr Evan George Black |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 5323 Woodrow 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 |
|---|---|---|---|
| 1346260247 | NPI | - | NPPES |
| Entity Name | St Marks Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912925629 PECOS PAC ID: 1355248089 Enrollment ID: O20031218000918 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan George Black, MD 5323 Woodrow St, #201, Murray, UT 84107-5841 Ph: (801) 261-4711 | Dr Evan George Black, MD 5323 Woodrow St, #201, Murray, UT 84107-5841 Ph: (801) 261-4711 |
Duane Robert Banks, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 845 East 4800 South, Suite 200, Murray, UT 84107 Phone: 801-264-9522 Fax: 801-265-9604 |
Marilyn Jean Mckasson, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 810, Murray, UT 84107 Phone: 801-507-9800 |
Ahmad Nadim Al Sadat, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 810, Murray, UT 84107 Phone: 801-507-9800 |
Dr. Jordan Reichman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 810, Murray, UT 84107 Phone: 801-507-9800 |
Shane Emeron Carter, PMHNP, APRN Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4516 S 700 E Ste 370, Murray, UT 84107 Phone: 435-776-5909 Fax: 435-776-5909 |
Matthew Craddock, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5965 S 900 E Ste 100, Murray, UT 84121 Phone: 678-378-8448 |
Cory Kogelschatz, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5171 S Cottonwood St Ste 810, Murray, UT 84107 Phone: 507-284-2511 |