| Dr Roger L Siddoway, MD | |
|
368 E Riverside Dr, Suite A, St George, UT 84790-6896 | |
| (435) 673-1149 | |
| (435) 673-1182 |
| Full Name | Dr Roger L Siddoway |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 368 E Riverside Dr, St George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548240310 | NPI | - | NPPES |
| 170936 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 19338 (Arizona) | Primary |
| Entity Name | Utah Gastroenterology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871689562 PECOS PAC ID: 9830174150 Enrollment ID: O20040621001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger L Siddoway, MD 6360 S 3000 E, #220, Salt Lake City, UT 84121-6923 Ph: () - | Dr Roger L Siddoway, MD 368 E Riverside Dr, Suite A, St George, UT 84790-6896 Ph: (435) 673-1149 |
Dr. Tyson Amundsen, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 368 E Riverside Dr Ste A, St George, UT 84790 Phone: 435-673-1149 | |
Dr. Karen Frieden, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1380 E Medical Center Dr, Suite 1400, St George, UT 84790 Phone: 435-251-2600 Fax: 435-251-2610 | |
Dr. Michael R Kline, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, Suite 1400, St George, UT 84790 Phone: 435-251-2600 | |
Mark Paul Hoth, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-2991 | |
Jameson Ross Petersen, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 544 S 400 E, St George, UT 84770 Phone: 435-688-6200 | |
Dr. Don Neer, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-2992 | |
Dr. Brandon Jon Bonewell, D.O Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-2992 |