| Dr King Hom, MD | |
|
4403 Harrison Blvd, Ste 4875, Ogden, UT 84403-3271 | |
| (801) 387-4500 | |
| Not Available |
| Full Name | Dr King Hom |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4403 Harrison Blvd, Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093731630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 963252421205 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr King Hom, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 387-4500 | Dr King Hom, MD 4403 Harrison Blvd, Ste 4875, Ogden, UT 84403-3271 Ph: (801) 387-4500 |
Isabel Cristina Lau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5405 S 500 E Ste 205, Ogden, UT 84405 Phone: 801-479-0174 Fax: 801-479-0312 | |
Dr. William Richard Weeks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4011 Beus Dr, Ogden, UT 84403 Phone: 801-393-9654 | |
Dr. Christine Ann Nefcy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, 4875, Ogden, UT 84403 Phone: 801-387-4500 Fax: 801-387-4712 | |
Mark J Sheffield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-4300 | |
Samantha Fugal Healey, FNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd Ste 2895, Ogden, UT 84403 Phone: 801-387-3740 | |
Donald F Watts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3955 Harrison Blvd, L-1, Ogden, UT 84403 Phone: 801-621-1701 Fax: 801-393-9411 |