| Dr Jacob Woodruff Daynes, DO | |
|
1929 Aaron Dr Ste L, Tooele, UT 84074-8112 | |
| (435) 843-3859 | |
| (435) 228-0130 |
| Full Name | Dr Jacob Woodruff Daynes |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 18 Years |
| Location | 1929 Aaron Dr Ste L, Tooele, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528220753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101017892 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 3093355-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain West Medical Center | Tooele, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tooele Clinic Corp | 6800700873 | 55 |
| Entity Name | Tooele Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073512364 PECOS PAC ID: 6800700873 Enrollment ID: O20031113000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Woodruff Daynes, DO 21693 Sunnyview St, Clinton Township, MI 48035-2880 Ph: (586) 948-8466 | Dr Jacob Woodruff Daynes, DO 1929 Aaron Dr Ste L, Tooele, UT 84074-8112 Ph: (435) 843-3859 |
Gary D Snook, MD, PC Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2321 N 400 E Ste 300, Tooele, UT 84074 Phone: 435-833-9180 | |
Dr. Allen Edson Workman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 196 E 2000 N, Suite 105, Tooele, UT 84074 Phone: 435-843-3859 Fax: 435-882-5766 | |
John Antoni Douglas, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2321 N 400 E Ste 300, Tooele, UT 84074 Phone: 435-833-9180 Fax: 435-883-9177 |