| Dr Lonnie Jefferson Miner, MD | |
|
5121 S Cottonwood St, Murray, UT 84107-5701 | |
| (801) 507-7000 | |
| Not Available |
| Full Name | Dr Lonnie Jefferson Miner |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| 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 |
|---|---|---|---|
| 1942220645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 376606-1205 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| 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 Lonnie Jefferson Miner, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 632-5834 | Dr Lonnie Jefferson Miner, MD 5121 S Cottonwood St, Murray, UT 84107-5701 Ph: (801) 507-7000 |
Jennifer Lynn Makosky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Dale L Chapman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Dr. Paul E Wirkus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Dr. John B Wall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Jake C Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5770 S 250 E, Suite 290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701 | |
Joseph A Roberts, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 164 E 5900 S, Ste A112, Murray, UT 84107 Phone: 801-262-2673 Fax: 801-269-9894 | |
Amy Miner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 |